HomeMy WebLinkAboutSump Pump Inspection, f // First Ins tion l~ Second ~
Address: ~"~ ~~~/~d~~~ f N'~% Own: ~Rent: ~ Age of Home: ~~ -5
Prior L,ake, MN 55 ~ ~~
/ _ ~, ' ~
J~ ,~/ Residential: ~ ~
Phone:'7'~~ "~~5~~ Non-Residential: D
A. BASEMENT ~es d No~~/` SiJMP BASKET ~ I~ 1 Q 2 ~ 3 ~
WATER IN BASKET ~ Yes Oa'No SUMP PUM 0~ 1 ~ 2 ~ 3 ~
WATER IN BASEMENT (flow over floor) ~ Yes o CISTERN ~ Yes ~
B.
C.
D.
(If no pump, place sticker across edge of sumg eover and basement floor so any removal of cover will
break seal. Skip to Part B of this form.)
Discharge Point ~I Laundry tub ~ Sanitary sewer ~~ Outside
at Inspection: ~ Floor drain ~ Other
..-~-~
Prior to Inspection:
When was system installed, or most recently modified? (Datej and why
~ Home came with system ~ Response to inspection program ~ Other
~ Water in basement ~ Previous system failed
~(~~/ ~r',
ROOF LEADERS: ~ L~I'es No DISCHARGE: Q Near a Away
YARD DRAINS ~~~L~~~ es ~~ ~N ~ WINDOW WELLS ~ Yes ~~
BEAVER SYSTEM ~ Yes ~!'"No
PROPERTIES WITH 5UMP PUMPS
When does pump run? Q Fall ~ Summer
(check all that apply) How often does pump run?
V~here does pump discharge to outside? ~ Front
NOTES: - -•---~~~7'~ ~7"~ 7~ a~~-•-•-•---•-•---•-•---•-
~ Spring L7 Winter
----
~ Back ~ Side
•-•-----•-•-=' =--•-•-----------•-----•-•---•-•-•-•-
SUMP PUMP SYSTEM: ~ASS O FAIL You have 30 days to bring your system into comp[iance with current
regulations. When you are ready for reinspection, ca11651/644-1469 for an otntment.
Is there another place where clear water enters the sanitary sewer system? ~ Yes `~ No
Where is this location?
This area wili need to be ~~e clea~at~scharges to the storm sewer system.
Inspector: ~r'L'""'" `" `"""' Date: 'y- ~ ' 7,7
Resident: ~ Date: - „ _
Disclaimer: This visual iuspection 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