HomeMy WebLinkAboutCompliance Inspection Form - Expires 03/08/2031Task 52155
Date Called in 03/04/21
Date Scheduled 03/08/21 @ 1:30P
City Of Orono
Point of Sale Sanitary Sewer Service I&I Compliance Inspection Form
Property Address:
2523 Kelly Ave, Orono, MN 55391 CERTIFIED
PID:
20-117-23-12-0039 EXPIRES, 31-F-Q0,�M
Owner Information
Name:
DRK Family Assoicates Benjamin Sachs
Mailing Address:
(if different from
Property)
9091 County Road 50, PO Vox 44, Rockford, MN 55373
Phone:
763.477.3224 1 Email: cjmdpi@yahoo.com
li)spectorlnformation
Name:
ria
Company/ Organization
License number:
l/
Roof Drains
Phone:
Email:
Inspection
System
Standard
Pass
Fail
Roof Drains
Roof drains and leaders Roof drains should not be connected to the sanitary
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sewer but should discharge to the ground outside of a building. If the roof
/
drains are connected to the sanitary sewer, disconnect them, plug any open
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connections to the sanitary sewer using a non -shrink permanent material, and
redirect the roof drains onto the ground outside the building.
Foundation
Foundation drains are underground pipes that collect storm water from
/
Drains
around the base of a building and into a sump basket, where it is then
pumped outside of the building. Foundation drains should not be connected
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to the sanitary sewer.
Sump Pumps
Sump pumps are designed to capture surface or ground water that enters
/
basements or crawl spaces and pump it away from the house. The basic sump
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system includes drain tile, a sump pit, a sump pump, a float or switch, and a
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drain line. Sump pumps should not be connected to the sanitary sewer.
Sewer Service
Sanitary Sewer Inflow & Infiltration (1/I) Compliance Inspection Sanitary
Line
Sewer Lines. All sanitary sewer lines serving Property, from the house to the
main line, shall be in a safe and functional condition and shall be free from all
1
leaks, failures including but not limited to partially collapsed sections or tree
,
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root intrusion. The sanitary sewer lines shall meet the City Code standards and
specifications. Details on back of this sheet
Notes:
CityReview
Inspectors Signature:
1 ❑ Corrective Action Required
Owners signature:
Date:
CityReview
Compliant
1 ❑ Corrective Action Required
Certificate of Compliance Expires: & J031
I Corrective Action Due by:
Date:
-`6- a.0o1
Signature:
Name:4M net�
M
Service Line Inspection Details
Weather Conditions:
Approximate Depth of Service
Type and Size of Service
Overall Condition of Service Pipe
Please note all connections, fittings, points of concern on service line including infiltration, tree root,
cracks, misaligned joints, etc.
This report must include a digital copy of the televising.
Feet
Comment
Example:
0
Start for 4" cleanout in NE corner of Basement
140
Misaligned joint—Infiltration
0
its
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Notes: