1643 Covington Lane - Inspection FormSump pumps
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Foundation drains
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ROOF drains
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Cat al F,a n
Residential Sanitary Sewer Service
Compliance Inspection
Date
Name
l
4" to 6" Transition:
White Copy: Proper ty Owner
tj . 1. , Disk #
PID Number
House Number `; -' Street Name _ . �i ) ./r7)72-1--;--17) ) /
Alternative Mailing Address ..J Phone ✓ El - ` - "" a ,
OwnerlOccupant Signature
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
I " am
Time le pm
LLJ
For information call 651.470,2788
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
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Length of Service:
Number Discharged
Total Correctly
Incorrectly Unknown
Record Number
Time
Obstruction
Unable to push past
feet
•
O am
O pm
Inspector Signature .
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Entered SLat
Final Cleanout:
Notes
Yellow Copy: City of Eagan Pink Copy, SEH