4705 Covington Cir - Inspection FormSump pumps
d
, f
Foundation drains
Roof drains
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4 City of Ea n
Residential Sanitary Sewer Service
Compliance Inspection
1
Date 3 ' Y I
Name / / 7 - 7.
PID Number
r
House Number L Street Name
Alternative Mailing Address
Owner /Occupant Signature
Compliance
O No foundation drain connection
O No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
Time =a
Service Lateral Inspection Findings
4" to 6" Transition:
White Copy: Property Owner
Disk #
pm
Non - Compliance
O Clear water connections to
sanitary sewer
O Service lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer
O Flexible sump pump piping
Number of stacks
Length of Service:
Number Discharged
Total Correctly Incorrectly Unknown
Yellow Copy: City of Eagan
Record Number
Notes
Time
•
atrti -_
• Opm
Phone !,-°,, )
•
Obstruction
Unable to push past
feet
Inspector Signature R
For information call 651.470.2788
Final Cleanout:
No Access
O No one in
< .
O Access to service
lateral needed
O Inspection
refused
Entered St at
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Pink Copy: SEH