HomeMy WebLinkAboutSump Pump Inspection"\
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(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 a Outside
at Inspection: ~ Floor drain I~ Other
Prior to Inspection:
When was system installed, or most recently modified? (Date) and why
~ Home came with system O Response to inspection program Q Other
~ Water in basement Q Previous system failed
B. ROOF LEADERS: L~ Yes C~''No DISCHARGE: ~ Near ~ Away
C. YARD DRAINS ~ Yes C~" No WINDOW WELLS ~ Yes C~''l~o
BEAVER SYSTEM ~ 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?
Vi~here does pump discharge to outside? a Front ~ Back ~ Side
NOTES:
SUMP PUMP SYSTEM: C~''PASS ~ FAIL You have 30 days to bring your system into compliance with current
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 ~o
Where is this location?
This area will need to be fixed so the clear water discharges to the storm sewer system.
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Inspector: ~"'~ ~ C~-°( ~'~ "~~-'''" Date: ~/- 3 0' y 9
Resident: ~'', Date: ~f _? v- 9~" _
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Disclaimer: This visual inspection is done with due diligence to find obvious clear water cross-connections
and does not imulv the structure meets all City Codes.
White: Homeowner Yellow: City Pink: HRG
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A. BASEMENT C~'~es ~ No SUMP BASKET ~0 ~ 1 ~ 2 ~ 3 ~
WATER IN BASKET ~ Yes ~ No SUMP PUMP l3'~~0 ~ 1 ~ 2 ~ 3 ~
WATER IN BASEMENT (flow over floor) ~ Yes ~fiTo CISTERN ~ Yes t'~1~To