4734 Covington Ct - Inspection FormSump pumps
Foundation drains
Roof drains
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City of Eagan
Residential Sanitary Sewer Service
Compliance Inspection
Date ) 1) /_. /_ ./ ) )
L-'
Name i r 1 i / Disk
PlD Number
House Number ,' N:;' J e Street Name / 7 �!
Alternative Mailing Addr,e's
/•7 //
For information call 6.51.470.2788
Compliance
O No foundation drain connection
O No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
Service Lateral Inspection Findings
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
4" to 6 "Transition:
��•' &am
Time • /b pm
OwiierlOcupant`Signature
White Copy: Property Owner
1
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
Record Number
I ' Time • •
0 0 pm
_ • 0 pm
Phone
Obstruction
Unable to push past
feet
Entered S . at
Notes
Inspector Signature j ? 1 ; fr' V
Final Cleanout:
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
i
7 '
Yellow Copy: City of Eagan Pink Copy: SEH