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Task#57937 <br />Date Called in 10-22-21 <br />Date Scheduled 10-27-21 @ 10.00 m <br />City Of Orono <br />Point of Sale Sanitary Sewer Service I&I Compliance Inspection Form <br />Property Address: 12595 Lydiard Circle #1 & #2 <br />PID: 1(#1)2011723110040(#2)2011723110041 <br />Owner Information <br />Name: <br />Todd Swartz <br />Mailing Address: <br />(if different from <br />Property) <br />CERTIFIED <br />N8433 572nd ST, Colfax, WI 54730 EXPIRES:�o-a_1- aoa <br />Phone: <br />715.308.8059 1 Email: I nscaleproperties@charter.net <br />Inspector Information <br />Name: <br />Standard <br />Company/ Organization <br />�f�„y� <br />License number: <br />Roof drains and leaders Roof drains should not be connected to the sanitary <br />Phone: <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 />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 />I <br />Drains <br />around the base of a building and into a sump basket, where it is then <br />1 <br />pumped outside of the building. Foundation drains should not be connected <br />II// <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 (UI) 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 o <br />For Inspection: <br />Inspectors Signature: Date: <br />Owners Signature: Date: <br />City Review <br />bl Compliant <br />1 ❑ Corrective Action Required <br />Certificate of Compliance Expires: <br />I Corrective Action Due by: <br />Date: <br />Si nature <br />Name: <br />U <br />