4229 Rahn Rd - Inspection FormResidential Sanitary Sewer Service
City of fal Ii Compliance Inspection
4 R •
Dat l0 / Time • I i I c#�, p am
Name ' '1 Disk #"
PID Number
)
House Number CL- /Street Name
Alternative Mailing Address
_•' /f'�,.7�`„�' � ^rte
Owner /Occupant Signature
For information call 651 ;!
r pUance
No foundation drain connection
Gi No roof drain connection
Sump pit not connected to
sanitary sewer
Sump pump properly piped
0 No sump pump
Service Later I InspAction Findings
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition R 1 0(
' 4" to 6" Transition:
White Copy: Property Owner
Record Number
Time
Phone
•
Inspector Signature
Obstruction
Unable to push past
feet
qA
Pm
No Access
O No one in
Non - Compliance
O Clear water connections to
sanitary sewer
O Service lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer
O Flexible sump pump piping
} of stacks , Entered S. L at
'
Length of Service:
Yellow Copy: City of Eagan
fs )/ s'I / Final Cleanout:
Noes
O Access to service .
lateral needed
O Inspection
refused
/ . .
Pink Copy: SEH
Total
Number.
Discharged
Correctly
Incorrectly
Unknown
Sump pumps
''f
/y
Foundation drains
(2)
Roof drains
Residential Sanitary Sewer Service
City of fal Ii Compliance Inspection
4 R •
Dat l0 / Time • I i I c#�, p am
Name ' '1 Disk #"
PID Number
)
House Number CL- /Street Name
Alternative Mailing Address
_•' /f'�,.7�`„�' � ^rte
Owner /Occupant Signature
For information call 651 ;!
r pUance
No foundation drain connection
Gi No roof drain connection
Sump pit not connected to
sanitary sewer
Sump pump properly piped
0 No sump pump
Service Later I InspAction Findings
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition R 1 0(
' 4" to 6" Transition:
White Copy: Property Owner
Record Number
Time
Phone
•
Inspector Signature
Obstruction
Unable to push past
feet
qA
Pm
No Access
O No one in
Non - Compliance
O Clear water connections to
sanitary sewer
O Service lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer
O Flexible sump pump piping
} of stacks , Entered S. L at
'
Length of Service:
Yellow Copy: City of Eagan
fs )/ s'I / Final Cleanout:
Noes
O Access to service .
lateral needed
O Inspection
refused
/ . .
Pink Copy: SEH