HomeMy WebLinkAboutSump Pump Inspection3~'
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Sump Pump and I/I Reduction
Inspection Form ~qPo~r
Name: ~~~M~~% ~C~~7~ Date:~~'~ r~~ Time~~6Bm./p.m.
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C~a ~ i First Insp,e,~ion ~''"Second Q ,~
Address: ~~~ / ~i~/.~~A~ ~/ ~~~5 Own: @'' Rent: d Age of Home: '~ J C
~,~ ~~/ h ,/~O-,~~0.~~/ ~ e ridentia en i 1~ ~
P r i o r L~ 1 c e, M N 5 5 P o n e: 7` o R e s i d t a.
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A. BA5EMENT es ~ No 5UMP BASKE ~~ 1~ 2 ~ 3 ~
WATER IN BASKET ~ Yes o SiJMP P 0~ 1 Q 2~ ~~ ~
WATER IN BASEMENT (flow over floor) Q Yes o 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
at Inspection:
B.
C.
D.
NOTES:
17 Laundry tub ~ Sanitary sewer l7 Outside
a Floor drain ~ Other ----
Prior to Inspection: .,~---
When was system installed, or most recently modified? (Date) and why
Q Home came with system
~ Water in basement
ROOF LEADERS:
YARD DRAINS
BEAVER SYSTEM
~ Response to inspection program ~ Other
~ Pre ' us system failed
es ~ No DISCHARGE: ~ Near L~way
~ Yes ~~~ WINDOW WELLS ~ Yes C~No
~ Yes L~1~'No
PROPERTIES WITH SUMP PUMPS
When does pump run? a Fall ~ Summer ~ Sprin_g,. 17 Winter
(check all that apply) How often does pump run?
V~here does pump discharge to outside? ~ Front a Back-- 17 Side
SUMP PUMP SYSTEM: ~~ASS O FAIL You have 30 days to bring your system into comp[iance with c
regulations. When you are ready jor reinspection, ca[! 651 /644-1469 for an ointment.
Is there another place where clear water enters the sanitary sewer system? ~ Yes No
Where is this location?
This area will need to b xe~e clea~te~scharges to the storm sewer system.
Inspector: ~ /~``~ Date: ~ - ~ - 7 7
Resident: ~ ~ r,,,,,,.D_ ~ _ _ Date: ~ ~~
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.
White: Homeowner Yellow: City Pink: ,HRG