1693 Covington Lane - Inspection FormCity of Ca ao
Residential Sanitary Sewer Service
Compliance Inspection
Date 1 ) / ,) (3 Time
Name t #
PID Number
House Number I G, -1 `) Street Name f 1) Y ?t' ‹)-- '3 )
Alternative Ma li.ngAddress Phone /
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 Number of stacks
4" to 6" Transition:
White Copy: Paopea ty Owner
(owner /Occupant Signature
4
Non - Compliance
Length of Ser vice:
Yellow Copy: City of Eagan
Record Number
j
- Time
Obstruction
1
inspector Signature
O Clear water connections to Unable to push past
sanitary sewer feet
O Service lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer
O Flexible sump pump piping
77"9 oam
• •' pm
For information call 651.470.2788
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Entered S L at - °1' /'
Roots
Poor PipeJoints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe I j
Transition `
�T 'r ? 1 � �i - d /
I Cleanout:
Pink Copy: SEH
Total
Notes
"� 2--c---1:)1 ' E ' y r
Number
Discharged
Correctly
Incorrectly
Unknown
Sump pumps
- = "_r
r r /
•
1 '
�-
Foundation drains
Roof drains
City of Ca ao
Residential Sanitary Sewer Service
Compliance Inspection
Date 1 ) / ,) (3 Time
Name t #
PID Number
House Number I G, -1 `) Street Name f 1) Y ?t' ‹)-- '3 )
Alternative Ma li.ngAddress Phone /
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 Number of stacks
4" to 6" Transition:
White Copy: Paopea ty Owner
(owner /Occupant Signature
4
Non - Compliance
Length of Ser vice:
Yellow Copy: City of Eagan
Record Number
j
- Time
Obstruction
1
inspector Signature
O Clear water connections to Unable to push past
sanitary sewer feet
O Service lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer
O Flexible sump pump piping
77"9 oam
• •' pm
For information call 651.470.2788
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Entered S L at - °1' /'
Roots
Poor PipeJoints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe I j
Transition `
�T 'r ? 1 � �i - d /
I Cleanout:
Pink Copy: SEH