1594 Covington Lane - Inspection Formlib Cit of Ea pi
City �
Residential Sanitary Sewer Service
Compliance Inspection
t
Date /7// /!/
Name ' sk #I
Number L
PID Number
Compliance
O No foundation drain connection
r No roof drain connection
Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
Transition
4" to 6 "Transition:
White Copy: Property Ownei
1
• -'f o jam
Time •_ (� pm
Alternative Mailing Addre ..0---,,
if
i /
1
D' U.
gwnerl0ccupant Signature
Service Lateral Inspection Findings
Flexible sump pump piping
Number of stacks
Non - Compliance
O Clear water connections to
sanitary sewer
O Service lateral defects
O , Defective manholes
Sump pump connected to sanitary
sewer
Length of Service:
m
Record Number
Yellow Copy: City of Eagan
Time
Obstruction
Unable to push past
feet
Entered S..L at
•
•
House Number / 1- Street Name _ ' i i i /.'
Inspector Signature
Final Cleanout:
O am
O pm
Phoney ° ..'!_ . -.__�� .) `
For information call 651.470.2788
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Roots -
Poor Pipe Joints
Mineral Deposits
SaglPipe Deflection fr : 7 4,
Damaged Pipe
J .-
Pink/Copy: SEH
Total
Notes
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Number
Discharged
Correctly
Incorrectly
Unknown
Sump pumps
p ~ "—
V
Foundation drains
Roof drains
/
< — r
,
lib Cit of Ea pi
City �
Residential Sanitary Sewer Service
Compliance Inspection
t
Date /7// /!/
Name ' sk #I
Number L
PID Number
Compliance
O No foundation drain connection
r No roof drain connection
Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
Transition
4" to 6 "Transition:
White Copy: Property Ownei
1
• -'f o jam
Time •_ (� pm
Alternative Mailing Addre ..0---,,
if
i /
1
D' U.
gwnerl0ccupant Signature
Service Lateral Inspection Findings
Flexible sump pump piping
Number of stacks
Non - Compliance
O Clear water connections to
sanitary sewer
O Service lateral defects
O , Defective manholes
Sump pump connected to sanitary
sewer
Length of Service:
m
Record Number
Yellow Copy: City of Eagan
Time
Obstruction
Unable to push past
feet
Entered S..L at
•
•
House Number / 1- Street Name _ ' i i i /.'
Inspector Signature
Final Cleanout:
O am
O pm
Phoney ° ..'!_ . -.__�� .) `
For information call 651.470.2788
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Roots -
Poor Pipe Joints
Mineral Deposits
SaglPipe Deflection fr : 7 4,
Damaged Pipe
J .-
Pink/Copy: SEH