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CERTIFIED <br />W W� EXPIRES: l ao�a03'5� <br />City Of Orono <br />Point of Sale Sanitary Sewer Service I&I Compliance Inspection Form <br />Date <br />Called in <br />:/ <br />zd26S <br />Date <br />Scheduled <br />9- zZ -ZOZS` <br />Property Address: <br />'7�p <br />Z�„ <br />/Iie &W GgnL <br />PID: <br />C l( <br />a <br />DOb <br />Owner; Information <br />Name: <br />, a �oq <br />Mailing Address: <br />(if different from <br />Property) <br />-�*o L63 �,;c/� Lljnc <br />Go.,,r GtiK. ,N- 55356 <br />Phone: <br />61Z - Zo✓ • 74 7 <br />Email: <br />Me „dd Pm e jr e <br />Ins eetor Information <br />Name: <br />Geer/i n s <br />Company/ Organization <br />/lo„ �- Ste- /?A <br />License number: <br />PC 779 <br />Phone* /L- 72y-$?:S,' <br />Email:ot�'r« a?M141ei..« <br />As/• lv� <br />Ins ection <br />System <br />Standard <br />Pass <br />Fail <br />Roof Drains <br />Roof drains and leaders hoof drains should not be connected to the sanitary <br />sewer but should discharge to the ground outside ofa building, If the root' <br />A\�� <br />drains are connected to the sanitary sewer, disconnect them. plug any open <br />�I�V} <br />connections to the sanitary sewer using a nun -shrink permanent material, and <br />nl�a <br />rcdfrccl the roof drains onto the round outside the building, <br />1 I 1 <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 />C <br />(y <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 />\ <br />basements or crawl spaces and pump it away from the house. The basic sump <br />�1 p� <br />�Q(� <br />1>` <br />system includes drain tile, a sump pit. a sump pump, a float or switch, and a <br />drain line. Sum pumps should not he connected to the sanitary sewer. <br />I I15 <br />Sewer Service <br />Sanitary Sewer Inflow & Infiltration (111) Compliance Inspection Sanitary <br />Line <br />Sewcr Lines. All sanitary sewer lines serving Properly. from the house to the <br />main line. shall be in a safe and litnctional condition and shall he free Isom till <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 ins ection: <br />Ci Review <br />ri <br />Com liant <br />❑ Corrective Action Re uired <br />Certificate of Compliance Ex ires: ►v pad ; <br />Corrective Action Due by: <br />Date: <br />D 0 0) 2 <br />Signature: / <br />Name: u l <br />F3 <br />2 <br />z <br />c <br />