1652 Covington Lane - Inspection FormSump pumps
't (
c
'
1
: _.: "l
Foundation drains
Roof drains
l b . City of Ea a
Residential Sanitary Sewer Service
Compliance Inspection
Date /
Nam
PID Number
House Number /6-7) . Street Name
Alternative Mailing Address
----- For-informafion- call -b5I: - 7Q,2788 - - - --
Compliance
O No foundation drain connection
O No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
Service Lateral Inspection Findings
4" to 6" Transition:
) ;!
White Copy: Property Owner
f . ;
)A • r ' Dsk #
Total
• W am
Time ` f •___ O pm
OwnerlOccupant Signature
Non - Compliance
0
O
O
O
O
-LL7-
Clear. water connections to
sanitary sewer
Service lateral defects
Defective manholes
Sump pump connected to sanitary
sewer
Flexible sump pump piping
Number of stacks
Length of Service:
Number Discharged
Correct Incorrectly
Unknown
Yellow Copy: City of Eagan
Record Number
Phone ^f 7 o f
Time
Obstruction
Unable to push past
feet
Entered S L, at
Notes
•
•
inspector Signature
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Final Cleanout:
o am
o pm
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH
27,