1563 Covington Lane - Inspection Form
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Residential Sanitary Sewer Service
City I Ir Compliance Inspection
Date_ 1 1 i_ Time f • Pm Record Number
1-~~-~- l I • yi;fam
Name 1 Time ..__..`3 • Pm
r
PID Number
House Number Street Name
Alternative Mailing Address Phone
OwnerlOccuf an Signature y Inspector Signature
For information call 651.470.2788
Compliance Non-Compliance Obstruction No Access
~F
No foundation drain connection O Clear water connections to Unable to push past O No one in
No roof drain connection sanitary sewer feet O Access to service
O Service lateral defects lateral needed
Sump pit not connected to
r , O Defective manholes
sanitary sewer O Inspection
t& Sump Sump pump connected to sanitary refused
~rcz~ Sump pump properly piped sewer
O No sump pump O Flexible sump pump piping
service Lateral Inspection Findings Number, of stacks ^ Entered S-L-at
Roots
Poor Pipejoints
Mineral Deposits
Sag/Pipe Deflection
Damaged Pipe
Transition L7, r"
-a
4" to 6"Transition: Length of Service: e°~
Final Cleanout:
Notes
Number j.
Discharged
Total Correctly Incorrectly Unknown r Mfr ; 1 'i' r
Sump pumps._. . - ° r r ?C?~ ~f
Foundation drains
Roof drains
White Copy: Property Owner Yellow Copy: City of Eagan Pink Copy: SEH