1600 Covington Lane - Inspection FormCity of I'apO
Residential Sanitary Sewer Service
Compliance Inspection
.7
Date 1i L r> / ,1/1
i'
Name T 1 j,A J '
PID Number
Alternative Mailing Address
4" to 6 "Transition:
- .1
Compliance
O No foundation drain connection
No roof drain connection
/114
' Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
White Copy: Property Owner
' . 1 >
• ✓ py am
Time • ,op p
Disk #
Owner /Occupant Signature
Service Lateral Inspection Findings
Ef:1--LLi LI]
Non - Compliance
O Clear water connections to
sanitary sewer
O Service lateral defects
O Defective manholes
Sump pump connected to sanitary
sewer
Flexible sump pump piping
Number of stacks
Roots
Poor PipeJoints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Length of Service:
Yellow Copy: City of Eagan
Record Number
•
Time •
House Number 7 �i' Street Name ` ''% ! ) ! !.' t-' f'
Phone!
"r
Obstruction
Unable to push past
feet
..i
inspector Signature
0 a
O pm
For information call 651.470.2788
Anal Cleanout:
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Entered S L.at
Pink Copy: SEH
.Number
Correctly
Discha
Notes
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Total
Incorrectly
Unknown
Sump pumps
4
r
i
f
f 1
Foundation drains
Roof drains
City of I'apO
Residential Sanitary Sewer Service
Compliance Inspection
.7
Date 1i L r> / ,1/1
i'
Name T 1 j,A J '
PID Number
Alternative Mailing Address
4" to 6 "Transition:
- .1
Compliance
O No foundation drain connection
No roof drain connection
/114
' Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
White Copy: Property Owner
' . 1 >
• ✓ py am
Time • ,op p
Disk #
Owner /Occupant Signature
Service Lateral Inspection Findings
Ef:1--LLi LI]
Non - Compliance
O Clear water connections to
sanitary sewer
O Service lateral defects
O Defective manholes
Sump pump connected to sanitary
sewer
Flexible sump pump piping
Number of stacks
Roots
Poor PipeJoints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Length of Service:
Yellow Copy: City of Eagan
Record Number
•
Time •
House Number 7 �i' Street Name ` ''% ! ) ! !.' t-' f'
Phone!
"r
Obstruction
Unable to push past
feet
..i
inspector Signature
0 a
O pm
For information call 651.470.2788
Anal Cleanout:
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Entered S L.at
Pink Copy: SEH