1610 Covington Lane - Inspection Form4011
City of Eap
Residential Sanitary Sewer Service
Compliance Inspection
▪ ) '11
•
Date ) / / ; Time ),• r• ID pm
Name 7 Disk #EL1
PID Number
House Number / ) Street Name
Alternative Mailing Address_
/-
/ 1 „f"--
-
O No roof drain connection
Sump pit not connected to
sanitary sewer
Sump pump properly piped
O No sump pump
4" to 6" Transition:
White Copy: Property Owner
Owner/Occupant Signature
Compliance
O No foundation drain connection
FE-
Length of Service:
Yellow Copy: City of Eagan
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
Record Number
Time
1
.55:55
Obstruction
Unable to push past
feet
Final Cleanout:
0 am
•
• 0 pm
0-
7 ,"""
Phone .7 ;
Inspector Signature \,
For information call 651.470,2788
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Service Lateral Inspection Findings Number of stacks Entered SL at
Roots
Poor Pipe Joints
Mineral Deposits
Sag/Pipe Deflection
Damaged Pipe
Transition
Pink Copy: SEH
Number
Correctly
Discharged
Incorrectly Unknown
Notes
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/
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Total
Sump pumps
Foundation drains
Roof drains
4011
City of Eap
Residential Sanitary Sewer Service
Compliance Inspection
▪ ) '11
•
Date ) / / ; Time ),• r• ID pm
Name 7 Disk #EL1
PID Number
House Number / ) Street Name
Alternative Mailing Address_
/-
/ 1 „f"--
-
O No roof drain connection
Sump pit not connected to
sanitary sewer
Sump pump properly piped
O No sump pump
4" to 6" Transition:
White Copy: Property Owner
Owner/Occupant Signature
Compliance
O No foundation drain connection
FE-
Length of Service:
Yellow Copy: City of Eagan
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
Record Number
Time
1
.55:55
Obstruction
Unable to push past
feet
Final Cleanout:
0 am
•
• 0 pm
0-
7 ,"""
Phone .7 ;
Inspector Signature \,
For information call 651.470,2788
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Service Lateral Inspection Findings Number of stacks Entered SL at
Roots
Poor Pipe Joints
Mineral Deposits
Sag/Pipe Deflection
Damaged Pipe
Transition
Pink Copy: SEH