4701 Covington Ct - Inspection Form4 Cit y or Ea as
Residential Sanitary Sewer Service
Compliance Inspection
a r, - :
Date �1 .� 1r ':'
Name
PID Number
House Number ` 7
Alternative Mailing Address
4" to 6" Transition:
White Copy: Property Owner
( ` '-;(7) Disk #
1 Street Name
Compliance
O No foundation drain connection
No roof drain connection
cit Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
Time
Service Lateral Inspection Findings
r 'T
o am
pm
1
..I RA f 1 r7 IJ�
Owner /Occupant Signature
Tr ansition
Number of stacks
Non - Compliance
O Clear water connections to
sanitary sewer
O Service lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer
Alp Flexible sump pump piping
Length of Service:
Yellow Copy: City of Eagan
Record Number
Time
Phone (1-7 k�
Obstruction
Unable to push past
feet.
Entered S Lat
Inspector Signature
Final Cleanout:
O am
•
• o pm
For information call 651.470.2788
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Roots
Poor.PipeJoints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Pink Copy: SEH
Number Discharged
Notes
;'
L , :
� , =
Total
Correctly
Incorrectly
Unknown
Sump pumps
f
e f
, ; i
Foundation drains
r
J
Roof drains
� �
4 Cit y or Ea as
Residential Sanitary Sewer Service
Compliance Inspection
a r, - :
Date �1 .� 1r ':'
Name
PID Number
House Number ` 7
Alternative Mailing Address
4" to 6" Transition:
White Copy: Property Owner
( ` '-;(7) Disk #
1 Street Name
Compliance
O No foundation drain connection
No roof drain connection
cit Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
Time
Service Lateral Inspection Findings
r 'T
o am
pm
1
..I RA f 1 r7 IJ�
Owner /Occupant Signature
Tr ansition
Number of stacks
Non - Compliance
O Clear water connections to
sanitary sewer
O Service lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer
Alp Flexible sump pump piping
Length of Service:
Yellow Copy: City of Eagan
Record Number
Time
Phone (1-7 k�
Obstruction
Unable to push past
feet.
Entered S Lat
Inspector Signature
Final Cleanout:
O am
•
• o pm
For information call 651.470.2788
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Roots
Poor.PipeJoints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Pink Copy: SEH