4715 Covington Cir - Inspection FormCity of '
Residential Sanitary Sewer Service
Compliance Inspection
Date 11/ ) / / _,••
Name' ":.),
P1D Number
Hose Number
)
)
Alter ative Mailing Address Phone
Y.
4" to 6"Transition:
kWtJ
ClimiferlOccupant Signature
Compliance.S':-
O No foundation drain connection
t1 roof drain connection
Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
White Copy: Property Owner
Time '") •
I
•
' 2.). Street Name
Non-Compliance
O Clear water connections to
sanitary sewer
O Service lateral defects
Defective manholes
Sump pump connected to sanitary
sewer
O Flexible sump pump piping
Length of Service:
■•■•■■•■■••• •■••
Yellow Copy: City of Eagan
Record Number
Obstruction
Unable to push past
feet
Time
Inspector Signature
For information call 651.470.2788
Service Lateral Inspection Findings Number of stacks Enter S L at
Roots
Poor Pipejoints
Mineral Deposits
Sag/Pipe Deflection
Damaged Pipe
Transition
Final Cleanout:
o am
•
• Oprn
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH
Number
Correctly
Discharged
Incorrectly Unknown
Notes
• ; ,
, .....
,-, -. 1 :-..._..17:
..-). , rii. i fr i 1_,
7 c-(/ ,,,./ - 71 - 4,-- - 1 ) cf I ,
_ .
---)..,-) .- ,,- -.7,. ,. ) --1,--
_ ..r...... 4 „ -‹ !-- _ , ,..
) ..-- -
„...pic .,.... -- ..- 4
' `'.- '....-r'e - 1
Total
Sump pumps
..)
e.'',9"--"'
) ,-7- „,..,, -
--).--.i.L
--- 7
, .A...
- -
- - -- 1, -1,----.1
..
- 1
Foundation drains
;
.
r - - ---
/
2,
Roof drains •.
-
I :f: .
-2
'‘,......"" 1 4 ef ---
' % t —.,'
(
City of '
Residential Sanitary Sewer Service
Compliance Inspection
Date 11/ ) / / _,••
Name' ":.),
P1D Number
Hose Number
)
)
Alter ative Mailing Address Phone
Y.
4" to 6"Transition:
kWtJ
ClimiferlOccupant Signature
Compliance.S':-
O No foundation drain connection
t1 roof drain connection
Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
White Copy: Property Owner
Time '") •
I
•
' 2.). Street Name
Non-Compliance
O Clear water connections to
sanitary sewer
O Service lateral defects
Defective manholes
Sump pump connected to sanitary
sewer
O Flexible sump pump piping
Length of Service:
■•■•■■•■■••• •■••
Yellow Copy: City of Eagan
Record Number
Obstruction
Unable to push past
feet
Time
Inspector Signature
For information call 651.470.2788
Service Lateral Inspection Findings Number of stacks Enter S L at
Roots
Poor Pipejoints
Mineral Deposits
Sag/Pipe Deflection
Damaged Pipe
Transition
Final Cleanout:
o am
•
• Oprn
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH