4283 Rahn Rd - Inspection FormSump pumps
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9
Foundation drains
�" i
()
Roof drains
City of Ea pi
i
Residential Sanitary Sewer Service
Compliance inspection
Date . 7 ' 1, l )
f -
Name
PID Number
)
House Number -� :� �5 .Street Name
Alternative Mailing Address
For information call 651.470,2788
Compliance
No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
0 0 Sump pump properly piped
No sump pump
Mineral Deposits
Owner/Occupant Signature
Service Lateral Inspectidn Findings
2.1 r /
Roots 7 f
Time
Disk #
O,
0
0
0
0
Sag /Pipe Deflection - ,"7 ,-
Damaged Pipe
Transition 4 4 1
4" to 6 "Transition: ! //
White Copy: Pr operty Owner
Total
m
pm
1
Non - Compliance
Clear water connections to
sanitary sewer
Service lateral defects
Defective manholes
Sump pump connected to sanitary
sewer
Flexible sump pump piping
Number of stacks
1
/
Length of Service:
Number. Discharged
Correctly Incorrectly ., Unknown
Yellow Copy: City of Eagan
Record Number
Time
1
Phone ,
Inspector Signature
Obstruction
Unable to push past
feet
• , 0 pm
Entered S L,at .' I
- „ Final Cieanout:
Notes
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Poor Pipe Joints
Pink Copy: SEH