1689 Covington Lane - Inspection FormCity of hp
Residential Sanitary Sewer Service
Compliance Inspection
Date 2 /c
Name //,4 f /72V-
PID Number
House Number 6 7
Alternative Mailing Address
Compliance
O No foundation drain connection
} No roof drain connection
. ,Sump pit not connected to
sanitary sewer
O Sump pump properly piped
Cl No sump pump
White Copy: Property Owner
a / yarn
Time • p pm
Disk #
Street Name
Owner /Occupant Signature
Phone ( rf
For information call 651.470.2788
Non- Compliance
O
O
O
0
Clear water connections to
sanitary sewer
Service lateral defects
Defective manholes
1
r
O Sump pump connected to sanitary
sewer
O Flexible sump pump piping
Service Lateral Inspection Findings Number of stacks Entered S at Y” /tli " < r
Roots
Poor PipeJoints
Mineral Deposits
SaglPipe Deflection r— a 1
Damaged Pipe f /
Transition ) ( I 4' i 1 Ads/ f-it A 4.7 / / / , / r t •
4" to 6 "Transition: A ,
Length of Service: / ' ; / r _ Final Cleanout:
Yellow Copy: City of Eagan
Record Number
c
1
Time f 1 • • ` }
.�r
"1/ 1- 1-22-----c--;
inspector Signature
Obstruction
Unable to push past
feet
td
0 prn
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH
Number Discharged
Correctly Incorrectly Unknown
__ -._ __ _
Notes _ _ f%1� , � f - � n.:,v...Q. -- '
, _ p ='¢1' 1 00 Ci / ^
.A-e. „ . •J . ,'" ' .
Total
Sump pumps
Foundation drains
Roof drains
f'
____
City of hp
Residential Sanitary Sewer Service
Compliance Inspection
Date 2 /c
Name //,4 f /72V-
PID Number
House Number 6 7
Alternative Mailing Address
Compliance
O No foundation drain connection
} No roof drain connection
. ,Sump pit not connected to
sanitary sewer
O Sump pump properly piped
Cl No sump pump
White Copy: Property Owner
a / yarn
Time • p pm
Disk #
Street Name
Owner /Occupant Signature
Phone ( rf
For information call 651.470.2788
Non- Compliance
O
O
O
0
Clear water connections to
sanitary sewer
Service lateral defects
Defective manholes
1
r
O Sump pump connected to sanitary
sewer
O Flexible sump pump piping
Service Lateral Inspection Findings Number of stacks Entered S at Y” /tli " < r
Roots
Poor PipeJoints
Mineral Deposits
SaglPipe Deflection r— a 1
Damaged Pipe f /
Transition ) ( I 4' i 1 Ads/ f-it A 4.7 / / / , / r t •
4" to 6 "Transition: A ,
Length of Service: / ' ; / r _ Final Cleanout:
Yellow Copy: City of Eagan
Record Number
c
1
Time f 1 • • ` }
.�r
"1/ 1- 1-22-----c--;
inspector Signature
Obstruction
Unable to push past
feet
td
0 prn
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH