4711 Covington Cir - Inspection Form4 11 11 . • •
City ol Eapo
Residential Sanitary Sewer Service
Compliance Inspection
Date /11
ff
Name
House Number
Alternative Mailing Address
'1
Time
PD Number
I Street Name
OwnerlOccupant Signature
For information call 651.470.2788
Compliance
O No foundation drain connection
0 No roof drain connection
▪ Sump pit not connected to
sanitary sewer
0= Sump pump properly piped
0 No sump pump
Service Lateral Inspection Findings
4" to 6" Transition:
White Copy: Property Owner
Total
arn
pm
Disk # F
Correctly
f •
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
Incorrectly
Unknown
Record Number
A
r
Phone
•
Time • 0 prn
Inspector Signature
Obstruction
Unable to push past
feet
Entered S.L..at
Notes
Final Cleanout:
o am
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Yellow Copy: City of Eagan Pink Copy: SEH
r-
i/
\ 7
Sump pumps
,-
,,,c1
,Th
/ '
Foundation drains
Roof drains
/
1, ---/
4 11 11 . • •
City ol Eapo
Residential Sanitary Sewer Service
Compliance Inspection
Date /11
ff
Name
House Number
Alternative Mailing Address
'1
Time
PD Number
I Street Name
OwnerlOccupant Signature
For information call 651.470.2788
Compliance
O No foundation drain connection
0 No roof drain connection
▪ Sump pit not connected to
sanitary sewer
0= Sump pump properly piped
0 No sump pump
Service Lateral Inspection Findings
4" to 6" Transition:
White Copy: Property Owner
Total
arn
pm
Disk # F
Correctly
f •
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
Incorrectly
Unknown
Record Number
A
r
Phone
•
Time • 0 prn
Inspector Signature
Obstruction
Unable to push past
feet
Entered S.L..at
Notes
Final Cleanout:
o am
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Yellow Copy: City of Eagan Pink Copy: SEH