HomeMy WebLinkAboutSump Pump InspectionW~
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Sump Pump and I/I Reduction
Inspection Form ~,~,~Jr
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Name: ~/`~~~~~%'~, ~./,~' ~'~ 7 Date: / -~~,~ Time~~a.m./p.m.
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, / O ~~~,~~,,Z ~ ~~, %J~ ~,L~. First Inspec ion C4~'" Second ~ /~, / S
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Address:,~~'~/ ~ ~~~ ~ Own: Rent: Age of Home./G ~7
,/ Residential: ~ ~
Prior Lake, MN 55~~~~ Phone'~'j~ -~'~` ~~ Non-Residential: ~
A. ~ BASEMENT ~s ~ No~ SUMP BASKET L'~l~Q.~~ 1~ 2 ~ 3 C]
WATER IN BASKET 17 Yes o SUMP ~P~ [~'~0 ~ 1 L7 2~ 3 O
WATER IN BASEMENT (flow over floor) ~ Yes t 9' N o CISTERN ~ Yes ~- l~ o
Date:
Date:
Prior to Inspeetion: ...--
When was system installed, or most recently modified7 (Date) and why
a Home came with system L~ Response to inspection program ~ Other
~ Water in basement ~ Previous system failed
B. ROOF LEADERS: Iz!'Yes ~ N- DISCHARGE: ~ Near way
C. YARD DRAINS a Yes ~~~~ WINDOW WELLS ~ Yes ~
BEAVER SYSTEM ~ Yes ~' No
D. PROPERTIES WITH SUMP PUMPS
When does pump run? ~ Fall ~ Summer ~ Spring ~ Winter
(check all that apply) How often does pump run? '~
Where does pump discharge to outside? ~ Front ~ Back •- O Side
NOTES:
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SUMP PUMP SYSTEM: ~ASS ~ FAIL You have 30 days to bring your system into compliance with eurrent
regulations. When you are ready for reinspection, cal[ 651 /644-1469 for an appointment.
Is there another place where clear water enters the sanitary sewer system? ~ Yes ICYtvo
Where is this location?
This area will need to b ixg;~'~sb the cleayWa~discharges to the storm sewer syst~.
Inspector:
~ r~ ~
Disclaimer: This visual inspection is done with due diligence to find obvious clear water cross-connections
and does not imply the structure meets all City Codes.
(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 ~ Laundry tub ~ Sanitary sewer ~ Outside
at Inspection: a Floor drain ~ Other "'
White: Homeowner Yellow: City Pink: HRG