4712 Covington Ct - Inspection Form 1A Cit of Papa
Residential Sanitary Sewer Service
Compliance .
Date! 1 1 1 f i'
Narne J J,
PID Number
House Number
Alternative Mailing Addres
r
rfi
4" to 6 "Transition:
r ^�
G�
9
f Disk #
Compliance
0 No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
'ner /Occupant Signature
Service Lateral Inspection Findings
Roots
White Copy: Property Owner
• o am
Time _ 'pm
! Street Name
Poor Pipe Joints
Mineral Deposits
SaglPipe Deflection
Damaged Pipe �
Transition 2
f sition I/ r
f I e ! Cr? 7 '
J
For information call 651.470.2788
Non-Compliance
O Clear water connections to
sanitary sewer
O Service lateral defects
O Defective manholes
Sump pump connected to sanitary
sewer
O Flexible sump pump piping
Number of stacks
i
Phone
otes
Yellow Copy: City of Eagan 2,,,
Record Number
Time-
/ee
Obstruction \
Unable to push past
feet.
•
o am
'prr
Inspector Signature
Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Entered S.Lat - - e 7 f .
. -- - •;i - CZ) .'
Length of Service: ' (1 ; s/ Final Cleanout:
1
f
Pink Copy: SEH
Nunaber
Discharged
~ ^\ �� "'d
Total
Correctly
Incorrectly
Unknown
Sump pumps
Foundation drains
Roof drains
A Cit of Papa
Residential Sanitary Sewer Service
Compliance .
Date! 1 1 1 f i'
Narne J J,
PID Number
House Number
Alternative Mailing Addres
r
rfi
4" to 6 "Transition:
r ^�
G�
9
f Disk #
Compliance
0 No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
'ner /Occupant Signature
Service Lateral Inspection Findings
Roots
White Copy: Property Owner
• o am
Time _ 'pm
! Street Name
Poor Pipe Joints
Mineral Deposits
SaglPipe Deflection
Damaged Pipe �
Transition 2
f sition I/ r
f I e ! Cr? 7 '
J
For information call 651.470.2788
Non-Compliance
O Clear water connections to
sanitary sewer
O Service lateral defects
O Defective manholes
Sump pump connected to sanitary
sewer
O Flexible sump pump piping
Number of stacks
i
Phone
otes
Yellow Copy: City of Eagan 2,,,
Record Number
Time-
/ee
Obstruction \
Unable to push past
feet.
•
o am
'prr
Inspector Signature
Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Entered S.Lat - - e 7 f .
. -- - •;i - CZ) .'
Length of Service: ' (1 ; s/ Final Cleanout:
1
f
Pink Copy: SEH