1604 Covington Lane - Inspection Form41 111 1 0- • •
City of bpi!
Residential Sanitary Sewer Service
Compliance Inspection
Date_izL -72 )
s..soc I
(
/-
Name t,
PID Number
House Number ;) Street Name
Alternative Mailing AddrAs Phone
For information call 651.470.2788
Compliance
O No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
Piam
Time pm
Disk #
n,e Signature
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 Entered S L at
Roots
Poor Pipe Joints
Mineral Deposits
Sag/Pipe Deflection
Damaged Pipe
Transition
4" to 6" Transition:
White Copy: Property Owner
Length of Service
Yellow Copy: City of Eagan
Record Number
Obstruction
Unable to push past
feet
Final Cleanout:
rw'')
• '° arn
Time • c:r pm
Inspector Signature A
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH
Number
Correctly
Discharged
Incorrectly Unknown
Notes
r 2..)r 7 --
Total
Sump pumps
, =
./
l
...? ''' ' I '
, s
o' ! '...
Foundation drains
Roof drains
41 111 1 0- • •
City of bpi!
Residential Sanitary Sewer Service
Compliance Inspection
Date_izL -72 )
s..soc I
(
/-
Name t,
PID Number
House Number ;) Street Name
Alternative Mailing AddrAs Phone
For information call 651.470.2788
Compliance
O No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
Piam
Time pm
Disk #
n,e Signature
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 Entered S L at
Roots
Poor Pipe Joints
Mineral Deposits
Sag/Pipe Deflection
Damaged Pipe
Transition
4" to 6" Transition:
White Copy: Property Owner
Length of Service
Yellow Copy: City of Eagan
Record Number
Obstruction
Unable to push past
feet
Final Cleanout:
rw'')
• '° arn
Time • c:r pm
Inspector Signature A
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH