4223 Rahn Rd - Inspection FormCity of F
Residential Sanitary Sewer Service
Compliance In spection
Name I"`"7 a //?/ Disk#
Pl1D Number
House Number - `./ Street Name
Alternative Mailing Address
ui " Owner /Occupant Signature
For information `call 651,470.2788
Copliance
No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
/ 4 No sump pump
Service Ler
Roots
Poor Pipejoints
1
Mineral Deposits
c Sag / ipe Deflection � <
Damaged Pipe
Transition
4" to 6" Transition:
White Copy: Property Owner
Time
spection Findings
• am
• pm
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
Number of stacks _
4,
Record Number
Phone Ci% :._
:r-
f
f) I
N otes
F"time
r
Length of Service:
inspector Signature
Obstruction
Unable to push past
feet
Final Cleanout:
am
pm
No Access
O No one in
L5 Ti9
O Access to service
lateral needed
O Inspection
refused
Entered S L. at
l
Yellow Copy: City of Eagan Pink Copy: SEH
7
Number
Correctly
Discharged
Incorrectly
Unknown
Total
Sump pumps
, /%
Foundation drains
/
Roof drains
i
City of F
Residential Sanitary Sewer Service
Compliance In spection
Name I"`"7 a //?/ Disk#
Pl1D Number
House Number - `./ Street Name
Alternative Mailing Address
ui " Owner /Occupant Signature
For information `call 651,470.2788
Copliance
No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
/ 4 No sump pump
Service Ler
Roots
Poor Pipejoints
1
Mineral Deposits
c Sag / ipe Deflection � <
Damaged Pipe
Transition
4" to 6" Transition:
White Copy: Property Owner
Time
spection Findings
• am
• pm
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
Number of stacks _
4,
Record Number
Phone Ci% :._
:r-
f
f) I
N otes
F"time
r
Length of Service:
inspector Signature
Obstruction
Unable to push past
feet
Final Cleanout:
am
pm
No Access
O No one in
L5 Ti9
O Access to service
lateral needed
O Inspection
refused
Entered S L. at
l
Yellow Copy: City of Eagan Pink Copy: SEH
7