1546 Covington Lane - Inspection FormSump pumps
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Foundation drains
Roof drains
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City f Ea a
Y i� n
Residential Sanitary Sewer Service
Compliance Inspection
Date 1 1 I ! 11/
Name _ ) i`..! l Disk #
PID Number
House Number ) 4 Street Name
Alternative Mailing Address
Li-
OwnerlOcdripant Signature
Compliance
O No foundation drain connection
O No roof drain connection
Sump pit not connected to
sanitary sewer
O. Sump pump properly piped
O No sump pump
Time' i
Service Lateral Inspection Findings
Roots
4" to 6 "Transition:
White Copy: Proper Owner
e am
— 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
m -m
Length of Service:
Number Discharged
Total Correctly Incorrectly Unknown
Record Number
Time
Phone 1
Notes
i
0 am
• 0 pm
1-s
inspector Signature ) /f U
For information call 651.470.2788
Obstruction
Unable to push past
feet
Entered S L, at
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Final Cleanout:
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
7
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Yellow Copy: City of Eagan Pink Copy: SEH