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Task 54192 <br />Date Called in06/21/21 <br />Date Scheduled 06/22/21 @ 10:00 m <br />City Of Orono <br />Point of Sale Sanitary Sewer Service I&I Compliance Inspection Form <br />Property Address: 12665 Mapleridge Lane <br />PID; 12111723210004 <br />Inspector Itiformation <br />Name: <br />Owner Information <br />Name: <br />Hruby, Annette <br />License number. <br />Mailing Address: <br />(if different from <br />Property) <br />G► aKgok (,�� py; L4- d <br />t <br />1380 Enterprise Parkway, Ashland, OH, 44805 <br />Phone: <br />612-865-7328 <br />1 Email; I amhruby@gmail.com <br />Inspector Itiformation <br />Name: <br />z_ <br />Company/ Organization <br />�/ <br />License number. <br />Roof drains and leaders Roof drains should not be connected to the sanitary <br />Phone: <br />Name: <br />Email: <br />sewer but should discharge to the ground outside of a building. if the roof <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 />c <br />sewer but should discharge to the ground outside of a building. if the roof <br />/ <br />drains are connected to the sanitary sewer, disconnect them, plug any open <br />t <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 />pumped outside of the building. Foundation drains should not be connected <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/I) 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 />leaks, failures including but not limited to partially collapsed sections or tree <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 VNo <br />For Inspection: <br />Inspectors Signature: Date: <br />Owners Signature: Date: <br />City Review <br />Compliant <br />1 ❑ Corrective Action Required <br />Certificate of Compliance Expires: a3 -at <br />Corrective Action Due by: <br />Date: <br />lo- a,;), ma-\ <br />Signature: <br />Name: <br />c <br />U <br />