HomeMy WebLinkAboutSump Pump Inspection~~~
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Sump Pump and I/I Reduction
Inst~ection Form
Name:~SG~~ti~~,, /~~ ~p Date: ~- ~/- j`~ Time: y a.m./p.m.
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A. BASEMENT es ~ No SiJMP BASKET ~ 0 C3" 1~ 2 ~ 3 ~
WATER IN BASKET I~'~es ~ No SUMP PUMP ~ 0 1 ~ 2 Q 3 ~
WATER IN BASEMENT (flow over floor) ~ Yes I~IQ"o" CISTERN 17 Yes O-Pdm
(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: ~ Floor drain Ca Other
Prior to Inspection:
When was system installed, ar most recently modified? (Date) and why
~ Home came with system ~ Response to inspection program D Other
~ Water in basement ~ Previous system failed
B. ROOF LEADERS: C~ Yes A''No DISCHARGE: Q Near ~ Away
C. YARD DRAIN5 t] Yes C~"No WINDOW WELLS la Yes D~No
BEAVER SYSTEM ~ Yes ~--~Go ~
D. PROPERTIES WITH SUMP PUMPS
When does pump run? C] Fall ~ Summer ~ Spring ~ Winter
(check all that apply) How often does pump run?
V~here does purnp discharge to outside? ~ Front O Back 17 Side
NOTES:
SUMP PUMP SYSTEM: ~''P"ASS ~ FAIL You have 30 days to bring your system into compliance with current
regulations. When you are ready for reinspection, caU 651/644-1469 for an appointment.
Is there another place where clear water enters the sanitary sewer system? ~ Yes I~'~To
Where is this location?
This area will need to be fixed so the clear water discharges to the storm sewer system.
Inspector: `..l Date: ~~ ,3 /- 9',
Resident: Date: "7 ~ 3 /- 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.
First Inspection ~~Second 17
Address: J~~ ~/t/ G~, ~.1,~,- ~1, S,~ Own: ~'"'~ent: ~ Age of Home: ~~
/~~~/ 1 Residential: C~-""
Prior Lake, MN 55~ Phone: ~~"/- (~ ?~ Non-Residential: ~
White: Homeowner Ye11owC City Pink: HRG