4721 Covington Ct - Inspection Form4 City or lia as
Residential Sanitary Sewer Service
Compliance Inspection
Date i, 1 / Time
Name 'i°' Disk #
PlD Number
House Number ' - -'" 1 Street Name
Alternative Mailing Address
Compliance
O No foundation drain connection
No roof drain connection
Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
Service Lateral inspection Findings
Sag /Pipe Deflection
Damaged Pipe
Transition
4" to 6" Transition:
White Copy: Proper ty Owner
Owner /Occunt Signature
• g am
• pm
Non - Compliance
O Clear water connections to
sanitary sewer
O Service lateral defects
O Defective manholes
Sump pump connected to sanitary
, sewer
6 ' Flexible sump pump piping
Number of stacks
Length of Service
Yellow Copy: City of Eagan
Record Number
Phone 65, ) 247
• 0 an
Time • o pm
Obstruction
Unable to push past
feet
Entered S Let
inspector Signature � f j� '
For information call 651.470.2788
No Access
O No one in
O Access to service
lateral needed
Roots
Poor Pipe Joints
Mineral Deposits
,
O Inspection
refused
Final Cleanout:
Pink Copy: SEH
Total
Notes
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Number
Discharged
Correctly
Incorrectly
Unknown
Sump pumps
Foundation drains
Roof drains
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4 City or lia as
Residential Sanitary Sewer Service
Compliance Inspection
Date i, 1 / Time
Name 'i°' Disk #
PlD Number
House Number ' - -'" 1 Street Name
Alternative Mailing Address
Compliance
O No foundation drain connection
No roof drain connection
Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
Service Lateral inspection Findings
Sag /Pipe Deflection
Damaged Pipe
Transition
4" to 6" Transition:
White Copy: Proper ty Owner
Owner /Occunt Signature
• g am
• pm
Non - Compliance
O Clear water connections to
sanitary sewer
O Service lateral defects
O Defective manholes
Sump pump connected to sanitary
, sewer
6 ' Flexible sump pump piping
Number of stacks
Length of Service
Yellow Copy: City of Eagan
Record Number
Phone 65, ) 247
• 0 an
Time • o pm
Obstruction
Unable to push past
feet
Entered S Let
inspector Signature � f j� '
For information call 651.470.2788
No Access
O No one in
O Access to service
lateral needed
Roots
Poor Pipe Joints
Mineral Deposits
,
O Inspection
refused
Final Cleanout:
Pink Copy: SEH