HomeMy WebLinkAboutSump Pump Inspectionra
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Name: f~~~~ ~~~~ ~ • Date: ~ ~~ ~~ Time:E.iT~a.m./p.m
L~/~ ~~.-----
~ ~ ~~~ First In~spe_,~c ' '~ ~" Second ~
Address: ~~~~ ~~~ .~O~i(~ ~~ Own: @'" Rent: d Age of Hc
~~. ~~y s~ Residential: ~
Prior I~ake, MN SS ~ Phone. /-'6.? ~~ Non-Residential: ~
/\.vvv~.si-- ~ -
A. BASEMENT es ~ No~ 5UMP BASKET ~ 1 ~ 2 ~ 3 ~
WATER IN BASKET ~ Yes o SLTMP~~P~ 0~ 1 ~ 2` ~~ /3- Q
WATER IN BASEMENT (flow over floor) ~ Yes PJNo CISTERN ~ Yes ~-No
(If no pump, place sticker across edge of sump cover and basement floor so any removal of cover will
break seal. Skip to Part B of this form.)
Discharge Point O Laundry tub Q Sanitary sewe~ Cl Outside
at Inspection: ~ Floor drain ~ Other
Prior to Inspection: ---'"
When was system installed, or most recently modified? (Date) and why
O Home came with system ~ Response .to inspection program ~ Other
Q Water in basement ~ Prev' s system failed
B. ROOF LEADERS: Yes ~ No - DISCHARGE: ~ Near ~way
y
C. YARD DRAINS ~ Yes G
" ~N WINDOW WELLS Ca Yes ~I~To
BEAVER 5YSTEM ~ ~
Yes L~'No
D. PROPERTIES WITH SUMP PUMPS
When does pump run? ~ Fall ~ Summer ~ Spring ~ Winter
(check all that apply) How often does pump run? '"`"
V~here does pump discharge to outside? ~ Front ~ Back O Side
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NOTES:
/~
SUMP PUMP SYSTEM: C9''PASS ~ FAIL You have 30 days to bring your system into comp[iance with current
regulations. When you are ready for reinspection, call 651/644-1469 for an appoi .
Is there another place where clear water enters the sanitary sewer system? ~ Yes o
Where is this location?
This area will need to b ixed e clear ~er '~",dharges to the storm sewer syste~.
Inspector: ~ ~ - Date: '~ ~ -/_
Resident: .r , „~ _ . Date: '~~-~ 7
Disclaimer: This visual inspection is done with due diligence to find obvious clear water cross-connections
and does not impl_y the structure meets all City Codes.
White: Homeowner Yellow: City Pink: HRG