1557 Covington Lane - Inspection FormSump pumps
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Foundation drains
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Roof drains
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1111111 City or tarp
Residential Sanitary Sewer Service
Compliance Inspection
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Date I 1 Time �� 0 pm
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Name i t iA�/ � �§ / � , - Disk #
PID Number
House Number `' 7 Street Name
Alternative Mailing Address Phone
For information call 651.470.2788
Compliance
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
Roots
Poor Pi pe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
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Transition -r �•:'
4" to 6 "Transition:
Ownerl r eccupan Signature
2
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
Number of stacks i
Length of Service:
Number Discharged
Total Correctly Incorrectly Unknown
White Copy: Proper Owner
Record Number
• tf- /7 am
Time • L- o pm
- ! /7?; 24-7-2' r? r
Notes
Inspector Signature
Obstruction
Unable to push past
feet.
Entered S.L.at ?: -'lr
No Access
O No one in
O Inspection
refused
Final Cleanout:
i
•
O Access to service
lateral needed
Yellow Copy: City of Eagan Pink Copy: SEH