HomeMy WebLinkAboutSump Pump Inspection,
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Sump Pump and I/I Reduction
ection Form ,~,,~-~,
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Name: __ a~~~ ~~ S o~~ , +~~ ~/ Date: ~~ .~ °" P 9 Time: /,`;~= o a. m. /p.m.
First Inspection ~ Second ~
Address: ~ r~~7 _Z r 1~ ~ ~ y; ~ ~ ~'D /V ~J Own: ~""Rent: ~ Age of Home:~_
Residential: D`"
Prior Lake, MN 55 J 7,~ Phone: ~/~/7- %~~'3 Non-Residential: ~
,~ r r u f~ u-r
A. BASEMENT a'S'es O No SUN~ BASKET ~ 0 ~ O 2 ~ 3 ~
WATER IN BASKET Ci'Yes ~ No SUMP PUMP ~ 0 I~1 ~ 2 ~ 3 ~
WATER IN BASEMENT (flow over floor) ~ Yes L31~o CISTERN ~ Yes L~-IQ"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 L'~ Outside
at Inspection: ~ Floor drain ~ Other
Prior to Inspection:
When was system installed, or most recently modified? (Date)
L~Home came with system ~ Response to inspection program
~ Water in basement ~ Previous system failed
~ Other
and why
B. ROOF LEADERS: L~es ~ No DISCHARGE: ~ Near D Away
C. YARD DRAINS a Yes C~""1Vo WINDOW WELLS ~ Yes ~'~Qo
BEAVER SYSTEM O Yes C~'~o
D. PROPERTIES WITH SUMP PUMPS
When does pump run? ~ Fall C3~Sr~ummer ~pring ~ Winter
(check all that apply) How often does pump run? , c,.r~~~~ ~~~~~ y~'„~ r f
Where does pump discharge to outside? a Front ~'S~ack Q 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, cal[ 651/644-1469 for an appointment.
Is there another place where clear water enters the sanitary sewer system? 7 Yes B''l~o ~
Where is this location?
This area will need to be fixed so the clear water discharges to the storm sewer system.
Inspector: ~ Date: S=1 °' 9 9
Resident: , ~ Date: ,5"- ~ o - 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.
White: Homeowner Yellow: City Pink: HRG