1684 Covington Lane - Inspection Form44bl— lit of 1a n
Residential Sanitary Sewer Service
Compliance Inspection
Date -1/ Z.1 1 /
Name
( 4 'v 'v
PID Number
House Number
Compliance
O No foundation drain connection
Gk No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
4" to 6" Transition:
White Copy: Property Owner
J • am
Time j • prn
Disk #
OwnerlOccupant Signature
4
/VA Street Name 0 1 4, a -4_,
Alternative Mailing Address
For information call 651.470.2788
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
Service Lateral Inspection Findings Number of stacks
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition 7 t 1 i? ' �`c I' 6,,,v 4� / } l ' `
S .n r r- 7 013/1f,--- 1f 7
Length of Service: Final Cleanout: , tr
Yellow Copy: City of Eagan
0
Record Number
Time
Obstruction
Unable to push past
feet
] • O Pm
Phone .7 ! f 3
/ -
/ inspector Signature
No Access
O No one in
O Inspection
refused
Entered S L at •.$7M'"� CC
O Access to service
lateral needed
Pink Copy: SEH
Total
Notes 0
_c):::7_7 / f ! r'f-f. c�
J vc) ' r ' .1
�v .74,/,-...7,2 -
CJ
- C �''?s�?i -� l7,7
Ccl - r
c.,'� ,r
t
Number
Discharged
Correctly
Incorrectly
Unknown
Sump pumps
Foundation drains
Roof drains
i` i
- - ----�_ --
____ ° -°
44bl— lit of 1a n
Residential Sanitary Sewer Service
Compliance Inspection
Date -1/ Z.1 1 /
Name
( 4 'v 'v
PID Number
House Number
Compliance
O No foundation drain connection
Gk No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
4" to 6" Transition:
White Copy: Property Owner
J • am
Time j • prn
Disk #
OwnerlOccupant Signature
4
/VA Street Name 0 1 4, a -4_,
Alternative Mailing Address
For information call 651.470.2788
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
Service Lateral Inspection Findings Number of stacks
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition 7 t 1 i? ' �`c I' 6,,,v 4� / } l ' `
S .n r r- 7 013/1f,--- 1f 7
Length of Service: Final Cleanout: , tr
Yellow Copy: City of Eagan
0
Record Number
Time
Obstruction
Unable to push past
feet
] • O Pm
Phone .7 ! f 3
/ -
/ inspector Signature
No Access
O No one in
O Inspection
refused
Entered S L at •.$7M'"� CC
O Access to service
lateral needed
Pink Copy: SEH