1528 Covington Lane - Inspection Form4 City of Ca an
Residential Sanitary Sewer Service
Compliance Inspection
Date /7 1 )J
i
Name s°-. .14 "2i j L / Disk # L
PID Number.
House Number
Alternative Mailing Address
4" to 6" Transition:
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
Roots
White Copy: Property Owner
Time • } •
Street Name
Owner /Occupant Signature
0
O
O
O
0
am
Pm
DJ-
Non-Compliance
•
•
1
Clear water connections to
sanitary sewer
Service lateral defects
Defective manholes
Sump pump connected to sanitary
sewer
Flexible sump pump piping
Number of stacks
Poor Pipe Joints
Length of Service:
Yellow Copy: City of Eagan
Record Number
Time
Phone
Obstruction
Unable to push past
feet.
Final Cleanout:
ii 7
O am
•
• _O pm
L ... 1 77 c.=
Inspector S ignature J ''I -era I
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
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Pink Copy: SEH
Total
Notes
i
C'. .? y = J ) z.,„ fi t - ` .j'
— 7)7' 1 ✓!
• - -y <. ,j
: -7: "% ` -
l
_:
Number
Discharged
Correctly
Incorrectly
Unknown
Sump pumps
4
)�,
C_ J
;'
- . ;
t f /
r ✓
/7 F)
_Y `' " teJJ
-7-, F
Foundation drains
7
- 2 / j ) / 1 re f i~
Roof drains
4 City of Ca an
Residential Sanitary Sewer Service
Compliance Inspection
Date /7 1 )J
i
Name s°-. .14 "2i j L / Disk # L
PID Number.
House Number
Alternative Mailing Address
4" to 6" Transition:
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
Roots
White Copy: Property Owner
Time • } •
Street Name
Owner /Occupant Signature
0
O
O
O
0
am
Pm
DJ-
Non-Compliance
•
•
1
Clear water connections to
sanitary sewer
Service lateral defects
Defective manholes
Sump pump connected to sanitary
sewer
Flexible sump pump piping
Number of stacks
Poor Pipe Joints
Length of Service:
Yellow Copy: City of Eagan
Record Number
Time
Phone
Obstruction
Unable to push past
feet.
Final Cleanout:
ii 7
O am
•
• _O pm
L ... 1 77 c.=
Inspector S ignature J ''I -era I
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
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Pink Copy: SEH