Sewer Connection Inspection Request

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Sewer Connection Inspection Request

Sewer Connection Inspection requires a 72 hour advanced notice Monday through Thursday and between the hours of 8:00 AM and 2:00 PM or Fridays between 8:00 AM and 12:00 PM.

Project Name

Contractor Name

Contractor Phone

Contractor Email

Subcontractor Name

Subcontractor Phone

Engineer

Utility Permit #

Right of Way Permit

MOT Index #

811 Locate Ticket #

County Inspector

Connection to

Manhole

Lift Station

Gravity Main

Inspection Date Requested

Date Requested

Time Requested

Contractor's Responsibilities

Install dewatering, sheeting, bracing or shoring (if required).
Coring the hole in the manhole or lift station.
Lining of manhole if force main connection is made.
Re-working the existing invert to accept new inflow.
Lift station liner repair after invert connection.
Backfilling & compaction of excavated area.
Restoration as required.

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