4058 Rahn Rd - Inspection FormCHHoftoa!
Residential , Sanitary Sewer Service
Compliance Inspection
Date 0 7 / 2d/ /c2
Name : ,617 f / � f (- Disk #
PID Number
House Number
Alternative Mailing Address
Compliance
0, No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
• No sump pump
Service Lateral Inspection Findings
Roots 'a . r
Poor Pipe joints
Mineral Deposits c i f( F r
Sag /Pipe Deflection
Damaged Pipe
tJ� i
Tr ansition
4" to 6" Transition:
White Copy: Property Owner
• � ID am
Time 0? • -- 0 pm
Street Name
Owner /Occupant Signature
— L'LJ —[1eJ
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
Length of Service: 70
s 7-
Record Number
Notes
Time
: L-
Pon ( T/) Z %r4/.. 0 5772
:7
/ inspector Signature
For information call 65 1.47
Obstruction
Unable to push past
feet
Entered S L at '� °I' - (P.--
No Access
O No one in
O Access to service .
lateral needed
O Inspection
refused
Final Cleanout: .'
Yellow Copy: City of Eagan Pink Copy: SEH
Total
Number
Discharged
Correctly
Incorrectly
Unknown
Sump pumps
t`
�°
.
- _.�...r:>
--,_
w e---
Foundation drains
...._._
Roof drains
�-- ""'� ~T ���
CHHoftoa!
Residential , Sanitary Sewer Service
Compliance Inspection
Date 0 7 / 2d/ /c2
Name : ,617 f / � f (- Disk #
PID Number
House Number
Alternative Mailing Address
Compliance
0, No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
• No sump pump
Service Lateral Inspection Findings
Roots 'a . r
Poor Pipe joints
Mineral Deposits c i f( F r
Sag /Pipe Deflection
Damaged Pipe
tJ� i
Tr ansition
4" to 6" Transition:
White Copy: Property Owner
• � ID am
Time 0? • -- 0 pm
Street Name
Owner /Occupant Signature
— L'LJ —[1eJ
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
Length of Service: 70
s 7-
Record Number
Notes
Time
: L-
Pon ( T/) Z %r4/.. 0 5772
:7
/ inspector Signature
For information call 65 1.47
Obstruction
Unable to push past
feet
Entered S L at '� °I' - (P.--
No Access
O No one in
O Access to service .
lateral needed
O Inspection
refused
Final Cleanout: .'
Yellow Copy: City of Eagan Pink Copy: SEH