1542 Covington Lane - Inspection Form41*
City f Ea as
Y p
Residential Sanitary Sewer Service
Compliance Inspection
Date , /
Name -r "'., 1 - t,
PID Number
f/F
House Number ."` °' Street Name
Alternative P'lailingAddress
Compliance
O No foundation drain connection
No roof drain connection
d Sump pit not connected to
1'
sanitary sewer
O Sump pump properly piped
O No sump pump
Service Lateral Inspection Findings
4" to 6" Transition:
White Copy: Property Owner
S:: ... • O am
Time • 'p pm
Disk #
Owner /Occupant Signature
Length of Service:
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
Yellow Copy: City of Eagan
Record Number
Time
Phone 2
inspector Signature
For information call 651.470.2788
Obstruction
Unable to push past
feet
Number of stacks Entered S.L.at
i
Final Cleanout:
• am
• o Pm
No Access
O No one in
O Access to service
lateral needed
O inspection
refused
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Pink Copy: SEH
Total
Notes
/ •
� ry
� ,�. , .
r
, r' '
Number
Discharged;
Correctly
Incorrectly
Unknown
Sump pumps
3 r ,
t
Foundation drains
Roof drains
41*
City f Ea as
Y p
Residential Sanitary Sewer Service
Compliance Inspection
Date , /
Name -r "'., 1 - t,
PID Number
f/F
House Number ."` °' Street Name
Alternative P'lailingAddress
Compliance
O No foundation drain connection
No roof drain connection
d Sump pit not connected to
1'
sanitary sewer
O Sump pump properly piped
O No sump pump
Service Lateral Inspection Findings
4" to 6" Transition:
White Copy: Property Owner
S:: ... • O am
Time • 'p pm
Disk #
Owner /Occupant Signature
Length of Service:
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
Yellow Copy: City of Eagan
Record Number
Time
Phone 2
inspector Signature
For information call 651.470.2788
Obstruction
Unable to push past
feet
Number of stacks Entered S.L.at
i
Final Cleanout:
• am
• o Pm
No Access
O No one in
O Access to service
lateral needed
O inspection
refused
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Pink Copy: SEH