HomeMy WebLinkAboutSump Pump Inspection~'c~or L~~ e ~'c ~o~- ~-~.~e.
~ City of
~
H,~~ ~y Sump Pump and I/I Reduction
~ ~ ~ =~ ~~~~ ~ ~~ ~ f"~~~~9' Inspection Form
Name: (J~ ~~o~, ~ ~u u ~ ~~
Address: P~ ~ d~ ~~~ ~~~ ~ ~ ~ ~~
Edina, MN 55 Phone: ~~l ~1 TM 2~~~{
Date: ~ 1 ~
First Inspection ~
Own: ~ Rent: ~
Residential: ~
Non-Residential: Q
Time: /~~~°v ~./p.m.
Second a
Age of Home:
A. BASEMENT (~.Yes a No SUMP BA5KET Q~ 0~ 1 ~ 2 ~ 3 ~
WATER IN BASKET ~ Yes ~ No SUMP PUMP ~J 0 O 1 ~ , 2 O 3 ~
WATER IN BASEMENT (flow over floor) d Yes ~.No CISTERN ~ Yes l] 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
First Inspection:
~ Laundry tub ~ Sanitary sewer Q Outside
~ Floor drain a Other
Prior to First Inspection:
When was system installed, or most recently modified? (Date)_
Q Home came with system ~ Response to inspection program ~ Other
~ Water in basement ~ Previous system failed
B. ROOF LEADERS:
C. YARD DRAINS
BEAVER SYSTEM
and why
'{~,Yes ~ No DISCHARGE: ~ Near ~ Away
O Yes ~ No WINDOW WELLS ~ Yes ~ No
O Yes ~ No
D. PROPERTIES WITH SUMP PUMPS
When does pump run? ~ Fall ~ Summer
(check all that apply) How often does pump run?
Where does pump discharge fo outside? a Front
NOTES:
~ Spring ~ Winter
~ Back ~ Side
SUMP PUMP SYSTEM: ~. PASS Q FAIL You have 30 days to bring your system into compliance with current
regulations. When you are ready}'or reinspection, ca11 8 7 2/826-0372 for an appointment.
Is there another place where clear water enters the sanitary sewer system? O Yes ~ No
Where is this location? '
This area wi11 need to be fixed so the clear water discharges to the storm sewer system.
Inspector: ~'~~-~-*~-~- - Date: - t - 9 ~
Resident: ~' f~ % 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