1680 Covington Lane - Inspection Form
Residential Sanitary Sewer Service
City I I, Compliance Inspection
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Dates 1 1 ~ Time ~ • pm Record Number
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Name Disk # Time Pm
PID Number
House Number _ (J' / / Street Name
Alternative Mailing Address Phone__
Inspector Signature
Ownerl0ccupgnt Signature'
For information call 651.470.2788
Co pliance 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
4 Sump pit not connected to O Defective manholes
sanitary sewer O Inspection
O Sump pump connected to sanitary refused
O Sump pump properly piped sewer
ONo sump pump O Flexible sump pump piping
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Service Lateral Inspection Findings .w Number of stacks Entered S.L at
ROOtS <
PoorPipejoints
Mineral Deposits
Sag/Pipe Deflection
Damaged Pipe
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Transition Lr 4 f•--r----w.~-
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L'engte5e~uice ;f # Final Cleanout:
4" to 6" Transition:
f Notes,
Number • c
Total Correctly Incorrectly Unknown 1 jr` ` -Y r '
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Sump pumps
Foundation drains'
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Roof drains ;
White Copy: Property Owner Yellow Copy: City of Eagan Pink Copy: SEH
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