HomeMy WebLinkAboutSump Pump Inspectionb~
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Sump Pump and I/I Reduction
Insnection Form
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A. BASEMENT ~Yes ~ No SUMP BASKET ~ 0 ~ Q 2 17 3~
WATER IN BA5KET ~ Yes '~f o SUMP PUMP ~''6 ~ 1 ~ 2 ~ 3 ~
WATER IN BASEMENT (flow over floor) ~ Yes A~`o CISTERN ~ Yes 13~Q'o
(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 O Outside
at Inspection: ~ Floor drain ~ Other
Prior to Inspection:
When was system installed, or most recently modified? (Date) and why
~ Home came with system O Response to inspection program ~ Other
~ Water in basement ~ Previous system failed
~, ~ ~; d I ~/
B. ROOF LEADERS: ~~Yes ~ No DISCHARGE: C-#~Near O Away
C. YARD DRAINS ~ Yes C#~-~o WINDOW WELLS ~ Yes t3~o
BEAVER SYSTEM ~ Yes l7~To
D. PROPERTIES WITH SUMP PUMPS
When does pump run? O Fall ~ Summer ~ Spring ~ Winter
(check all that apply) How often does pump run?
Where does pump discharge to outside? ~ Front ~ Back ~ Side
NOTES:
SUMP PUMP SYSTEM: ~ASS ~ FAIL You have 30 days to bring your system into compliance with current
regulations. When you are ready for reinspection, ca[1651/644=1469 for an appointment.
Is there another place where clear water enters the sanitary sewer system? O Yes C~~1~To
Where is this location?
This area will need to be fixed so the clear water discharges to the storm sewer system.
Inspector: '~"''~ Date: G~ - /~ ~ l' ~
Resident: Date: ~'- /0 ~ ~ 9
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.
Name: ~ ~-ov ~ , ~G~ ~ ~~r~`t~n e Date: G -/°' ~ y Time: /3~iS" a.m./p.m.
First Inspection ~3'~ Second ~
Address:~~~o2 d~~ ~~~~ti .;~ ~~c~~ ~i/, ~_F~ Own: C~'' Rent: ~ Age of Home:_~
Residential: 13~'
Prior Lake, MN 55 3~~ Phone: ~/~17- ~1~/,,7 7 Non-Residential: ~
White: Homeowner Yellow: City Pink: HRG