1688 Covington Lane - Inspection Form4111111* City Ca n
Residential Sanitary Sewer Service
Compliance Inspection
Date , I / I 1 / J
Name_�p �/I � e C`! J L Disk #
PID Number
House Number / e
E
Compliance
O No foundation drain connection
No roof drain connection
Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
Service Lateral Inspection Findings
Roots / f
Poor \ e J'iFits
Mineral eposits
Sag /P' »e eflection
Damaged Pipe
3.
Transition 1 f `2'
4" to 6" Transition:
White Copy: Proper ty Owner
Pm
Alternative Time • pm
Alternative Mailing Address
1 1 ,
l Il
OwnerlOccupant Signature
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
1
Record Number.
Time
1
Street Name ,- t /;
r..� Phone / ,— ,- r ?
Inspector Signature
For information call 651.470.2788
Obstruction
U 17,'p push past
feet
Number of stacks 1 Entered S.L.at'�
Length of Service / '1,. i(.?
Yellow Copy: City of Eagan
No Access
O No one in
O Access to service
lateral needed
0 am
.'i pm
O Inspection
refused
/t 1
Final Cleanout:4i; ),'4 .�(9 � 1
Pink Copy: SEH
Total
Notes
C,-.-'11 '/
1,�
,,---,-,L--
`7.0
/ /
_ :�:?, ?
f t
57 .- --
„,,,,-)/7_..,..---,„--; 1
ate: -
...-./.. � � -- _ a; � 1 7
^. -, .r!`T' -, I . -. -,
r
Number
Discharged
Correctly
Incorrectly
Unknown
Sump pumps
Ell
Z7(1.
p
'
/ t
' '''''1 C EIN
j Aert°
T
/ 211'/21?”"
Foundation drains
"
1)e ':f'-'--- "
1 '
- - -
C. ‘ ' '''x, s ' " '' ' - -4' "'
N....•.. .�.....�.-
.. -�.� - .�.,.,�
4111111* City Ca n
Residential Sanitary Sewer Service
Compliance Inspection
Date , I / I 1 / J
Name_�p �/I � e C`! J L Disk #
PID Number
House Number / e
E
Compliance
O No foundation drain connection
No roof drain connection
Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
Service Lateral Inspection Findings
Roots / f
Poor \ e J'iFits
Mineral eposits
Sag /P' »e eflection
Damaged Pipe
3.
Transition 1 f `2'
4" to 6" Transition:
White Copy: Proper ty Owner
Pm
Alternative Time • pm
Alternative Mailing Address
1 1 ,
l Il
OwnerlOccupant Signature
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
1
Record Number.
Time
1
Street Name ,- t /;
r..� Phone / ,— ,- r ?
Inspector Signature
For information call 651.470.2788
Obstruction
U 17,'p push past
feet
Number of stacks 1 Entered S.L.at'�
Length of Service / '1,. i(.?
Yellow Copy: City of Eagan
No Access
O No one in
O Access to service
lateral needed
0 am
.'i pm
O Inspection
refused
/t 1
Final Cleanout:4i; ),'4 .�(9 � 1
Pink Copy: SEH