4235 Rahn Rd - Inspection Formr'iity kali
a
Residential Sanitary Sewer Service
Compliance Inspectio n
Date 4 Z 7 / JO
Name
4" to 6 "Transition:
:M17P&r /
PID Number
1-louse Number. /76 ▪ Street Name
Alternative Mailing Address
Compliance
04(Io foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
White Copy: Property Owner
OwnerlOccuparat Signature
."
Time ✓; • G�
d
9 i
am
0 pm
Ld—Lai2]
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
Length of Service:
Yellow Copy: City of Eagan
Record Number
Phone i/. -7)
1 V1
Inspector S
For information 'call 651.470.2788
Number of stacks / Entered S. L at
Service Lateral Inspection Findings
Roots t " ,- ,
Poor Pipe joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe # �I
Transition _v I r- � /� )
Obstruction
Unable to push past
feet
earn
Time ® A D O pm
Final Cleanout:
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH
Total
Notes r
F------- G kee 4✓1
(7- f• „I � ,,
Number
Discharged
Correctly
Incorrectly
Unknown
Sump pumps
Foundation drains
Roof drains'.
d7 "
�"`
_:_ .m•,___.� .
r'iity kali
a
Residential Sanitary Sewer Service
Compliance Inspectio n
Date 4 Z 7 / JO
Name
4" to 6 "Transition:
:M17P&r /
PID Number
1-louse Number. /76 ▪ Street Name
Alternative Mailing Address
Compliance
04(Io foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
White Copy: Property Owner
OwnerlOccuparat Signature
."
Time ✓; • G�
d
9 i
am
0 pm
Ld—Lai2]
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
Length of Service:
Yellow Copy: City of Eagan
Record Number
Phone i/. -7)
1 V1
Inspector S
For information 'call 651.470.2788
Number of stacks / Entered S. L at
Service Lateral Inspection Findings
Roots t " ,- ,
Poor Pipe joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe # �I
Transition _v I r- � /� )
Obstruction
Unable to push past
feet
earn
Time ® A D O pm
Final Cleanout:
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH