1551 Covington Lane - Inspection FormCity or Capp
Residential Sanitary Sewer Service
Compliance Inspection
Date fr
Name ‘,/ a j l ',�'7 Disk #
PID Number
House Number
j( 2 )
Alternative Mailing Address " Phone , :
For information call 651 A70.2788
Compliance
O No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
V I
No sump pump
Service Lateral Inspection Findings
Roots
Poor Pipe Joints
Mineral Deposits
SaglPipe Deflection
Damaged Pipe
Transition
4" to b" Transition:
White Copy: Property Owner
am
Time t. • pm
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
Record Number
._
▪ Street Name i % r./1/"-) "pa
Obstruction
Unable to push past
feet
Number of stacks Entered S,L.at
Notes
Time
fnspe Signature 1, 421mJ
Final Cleanout:
• O a
• O pm
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Yellow Copy: City of Eagan Pink Copy: SEH
Total
Number
Discharged
Correctly
Incorrectly
Unknown
Sump pumps
,'2,
E
-1
j
!
_ :=
Foundation drains
IN
MIN=
Roof drains
City or Capp
Residential Sanitary Sewer Service
Compliance Inspection
Date fr
Name ‘,/ a j l ',�'7 Disk #
PID Number
House Number
j( 2 )
Alternative Mailing Address " Phone , :
For information call 651 A70.2788
Compliance
O No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
V I
No sump pump
Service Lateral Inspection Findings
Roots
Poor Pipe Joints
Mineral Deposits
SaglPipe Deflection
Damaged Pipe
Transition
4" to b" Transition:
White Copy: Property Owner
am
Time t. • pm
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
Record Number
._
▪ Street Name i % r./1/"-) "pa
Obstruction
Unable to push past
feet
Number of stacks Entered S,L.at
Notes
Time
fnspe Signature 1, 421mJ
Final Cleanout:
• O a
• O pm
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Yellow Copy: City of Eagan Pink Copy: SEH