1516 Covington Lane - Inspection FormCity al Liam
Residential Sanitary Sewer Service
Compliance Inspection
Date ,L /'
Name i
PID Number
House Number
Alternative Mailing-Address
For information call 651.470.2788
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
Poor PipeJoints
Mineral Deposits
Sag /Pipe Deflection_
Damaged Pipe
Transition
4" to 6" Transition:
Time
Disk #
e
Street Name
' 1 > ,/ 11
Ownerldccupant Signature
si am
• pm
l
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
Length of Service:
White Copy: Property Owner
Yellow Copy: City of Eagan
•
Record Number
Time
r
Phone / ! 4
Entered S..L at
Notes
Obstruction
Unable to push past
feet
Final Cleanout:
O am
•
• — O pm
inspector Signature
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SE H
J