1530 Covington Lane - Inspection FormSump pumps
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Foundation drains
Roof drains
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• ' t
4* City Fa a
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Residential Sanitary Sewer Service
Compliance Inspection
Date
----7,,---
Name ,N) , ) 1\ . /
>'
Compliance
0 No foundation drain connection
No roof drain connection
Sump pit not connected to
Sump pump properly piped
0 No sump pump
sanitary sewer
Service Lateral Inspection Findings
4" to 6" Transition:
White Copy: Property Owner
Total
am
Time • ' pm
Disk #
PID Number
House Number j ` . 2Street Name
OwnerlOccupant Signature
Alternatve Mailing Address Phone r= ?._ .7;:r °`"
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:
Correctly ]ncorrectly
Number Discharged
Unknown
Record Number
Notes
-2 -
Time
Inspector Signature
Obstruction
Unable to push past
feet
Entered S.L at
Final Cleanout:
f .,
• O am
• O pm
r^ S
y # �
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
1
Yellow Copy: City of Eagan Pink Copy: SEH