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108 Chevy Chase Dr - 36-118-23-41-0034
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Contractor Inspection Form
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Last modified
8/22/2023 5:04:41 PM
Creation date
3/1/2021 4:17:17 PM
Metadata
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Address
House Number
108
Street Name
Chevy Chase
Street Type
Drive
Address
108 Chevy Chase Drive
PIN
3611823410034
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Private Property Inflow And Infiltration Inspection Procedures <br />For Contractors <br />Sewer Service Further Investigation Issues <br />Properties found in need of further investigation have one or more of the following: <br />• unable to access sewer lateral due to un -located cleanouts (behind walls, under flooring, etc) <br />• unable to complete inspection of sewer lateral due to roots, solid deposition, crushed pipe, etc <br />• unknown connections (unable to verify connection flowing water into sewer lateral) <br />Sump Pump/Roof Leader Inspection Criteria And Process <br />• Inflow/Infiltration Compliance Inspection form <br />• Correctly plumbed sump pump discharges <br />must have the "Sump Pumps" and "Foundation <br />outside of the building using rigid pipe. Pipe <br />Drains" sections completely filled out for the <br />discharge should be a minimum of 10 -feet from <br />inspection to be complete. <br />building. <br />• Every sump pump on the property is required to <br />• Sump pumps that do not discharge outside <br />be inspected (including photos of the opened <br />are incorrectly plumbed and are considered <br />basket, the surrounding area, and the discharge <br />non-compliant. <br />pipe, both interior and exterior). Total number of <br />• Roof leaders are required to discharge outside <br />sump pumps must be noted. <br />of the building; any roof leaders and or cisterns <br />• Sump pump discharge piping is required to be <br />discharging into foundation drains are non- <br />rigid pipe. Flexible pipe, shut-off valves, <br />compliant. <br />plumbing tees, and aes are not allowed. <br />Completed Inspection <br />• Property owner is to sign the completed <br />The City will issue either a Certificate of <br />Inflow/Infiltration Compliance Inspection form and <br />Compliance or a Correction Notice once the <br />retain a copy for their records. <br />review is complete. If a correction notice is <br />• A copy of the completed Inflow/Infiltration <br />issued, the required repairs must be made and a <br />Compliance Inspection form and video link is <br />post -repair televised inspection must be <br />required to be delivered to the City of Orono for <br />performed in order to receive Certificate of <br />review. <br />Compliance. <br />• The City's Utilities Supervisor or his/her <br />• The completed forms will be mailed to the <br />designee will review the video and compare it with <br />address on the Inflow/Infiltration Compliance <br />the completed Inflow/Infiltration Compliance <br />Inspection form, unless a different address is <br />Inspection form <br />noted. <br />Contractor's Signature <br />Contractor completing the Inflow and Infiltration Compliance Inspection has read and <br />understands the conditions of the Private Property Inflow and Infiltration Inspection Procedures <br />for Contractors. <br />Company name <br />Inspector name <br />Integrity Mpls <br />Anthony Benincasa <br />Copy of plumbers license <br />On file NSA (or) Attached NSA Buyer had inspection done for closing <br />License number <br />Bond <br />Date <br />RMEA-00311 <br />Staff Use Only <br />Date Received <br />Staff Name and Signature <br />02-18-2021 <br />Page 2 of 2 <br />
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