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Task 54033 <br />Date Called in 06/11/21 <br />Date Scheduled 06/14/21 @ 8:30 Ai <br />City Of Orono <br />Point of Sale Sanitary Sewer Service I&I Compliance Inspection Form <br />Property Address: 11856 Shadywood Road <br />PID: 11711723240017 <br />Owner Information <br />Name: <br />Milton Seifert <br />Mailing Address: <br />(if different from <br />Property) <br />PO BOX 216, Excelsior, MN 55331 <br />Phone: <br />612-723-1975 1 Email: I mike@seifertcompanies.com <br />Inspector Information <br />Name: <br />Company/ Organization License number: <br />Phone: Email: <br />Inspection <br />System <br />Standard <br />Pass <br />Fail <br />Roof Drains <br />Roof drains and leaders Roof drains should not be connected to the sanitary <br />Name: <br />sewer but should discharge to the ground outside of a building. if the roof <br />drains are connected to the sanitary sewer, disconnect them, plug any open <br />connections to the sanitary sewer using a non -shrink permanent material, and <br />redirect the roof drains onto the ground outside the building. <br />Foundation <br />Foundation drains are underground pipes that collect storm water from <br />Drains <br />around the base of a building and into a sump basket, where it is then <br />` <br />pumped outside of the building. Foundation drains should not be connected <br />\1 <br />to the sanitary sewer. <br />Sump Pumps <br />Sump pumps are designed to capture surface or ground water that enters <br />basements or crawl spaces and pump it away from the house. The basic sump <br />system includes drain tile, a sump pit, a sump pump, a float or switch, and a <br />drain line. Sump pumps should not be connected to the sanitary sewer. <br />Sewer Service <br />Sanitary Sewer Inflow & Infiltration (I/1) Compliance Inspection Sanitary <br />Line <br />Sewer Lines. All sanitary sewer lines serving Property, from the house to the <br />main line, shall be in a safe and functional condition and shall be free from all <br />\ <br />leaks, failures including but not limited to partially collapsed sections or tree <br />0 <br />root intrusion. The sanitary sewer lines shall meet the City Code standards and <br />specifications. (Details on back of this sheet) <br />Notes: <br />Toilet Removed <br />o Yes l( No <br />For Inspection: <br />CityReview, <br />Inspectors Signature: It V& <br />Date: —j - aoal <br />Owners Signature: <br />Date: <br />CityReview, <br />❑ Compliant <br />I X Corrective Action Re uired <br />Certificate of Compliance Expires: <br />Corrective Action Due by: Da <br />Date: <br />Signature: <br />Name: <br />