HomeMy WebLinkAboutSump Pump Inspection.~
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A. BASEMENT ~ Yes ~No SUMP BASKET ~ 0 ~ 1 a 2 ~ 3 ~
WATER IN BASKET ~ Yes ~ No SUMP PUMP 0~ 1 ~ ~ 3 0
WATER IN BASEMENT (flow over floor) Q Yes ~No 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 ~ Laundry tub ~ Sanitary sewer ~ Outside
at Inspection: a Floor drain ~ Other
Prior to Inspection:
When was system installed, or most recently modified? (Date) and why
Q Home came with system ~ Response to inspection program C~ Other
~ Water in basement ~ Previous system failed
B. ROOF LEADERS: ~ Yes ~ No DISCHARGE: l~ Near I~ Away
C. YARD DRAINS ~ Yes I~ No WINDOW WELLS ~ Yes ~ No
BEAVER 5Y5TEM ~ Yes j'f~ No
D. PROPERTIE5 WITH 5UMP PUMPS
When does pump run? ~ Fall ~ Summer
(check all that apply) How often does pump run?
V~here does pump discharge to outside? ~ Front
/ -~-•--
NOTES:'----~f/~AA.,,,t ~.-•~~ --•-•-----~/lJ~~ ~
~ Spring Q Winter
Q Back ~ Side
- -- f=T--._._._._._._._._.-•-•-•---•-•-•---•-•-•-•-
SUMP PUMP SYSTEM: "'~ PASS ~ FAIL You have 30 days to bring your system into complicuzce with current
regulations. When you are ready for reinspection, ca[1657/644-1469 for an appointment.
Is there another place where clear water enters the sanitary sewer system? ~ Yes ~No
Where is this location?
This area ' nee to b ed so the clear water discharges to the storm sewer system.
Inspec . Date: /- `1
Resident: 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
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Insnection Form
Name: ~a~ ~(. LG~!'i~ Date: 7~ 23- jy Time: /t/~D a.m./p.m.
First Inspection ~ Second ~
Address: ~~ 9,~ / f? ~~ ~~ S~. ~~/ F Own: C~'"' Rent: O Age of Home: ?
Residential: C-~`''
Prior Lake, MN 55~~,~ Phone: ~/5~ - d~~ 3 Non-Residential: ~
~~ ~ ~ ~
A. BASEMENT ~'P~es d No SUMP BASKET A'"b~ Q 1 ~ 2 ~ 3 Q
WATER IN BASKET ~ Yes ~ SUMP PUMP C~'U ~ 1 ~ 2 17 3~
WATER IN BASEMENT (flow over floor) a Yes o CISTERN D Yes A-i~"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 D Laundry tub ~ Sanitary sewer ~ Outside
at Inspection: a Floor drain ~ Other
Prior to Inspection:
When was system installed, or most recently modified? (Date) and why
~ Home came with system I~ Response to inspection program ~ Other
~ Water in basement ~ Previous system failed
B. ROOF LEADERS: C~r" Yes ~ No DISCHARGE: Q Near A"TCway
C. YARD DRAINS ~ Yes C~'Ro WINDOW WELLS Q Yes C#~~'IV'o
BEAVER SYSTEM ~ Yes C'~~'Go
D. PROPERTIES WITH SUMP PUMPS
When does pump run? ~ Fall ~ Su~-mer ~ Spring ~ Winter
(check all that apply) How often does pump'run7
V~here does pump discharge to outside? ~ Front ~ Back 13 Side
NOTES:
SUMP PUMP SYSTEM: L~' PASS C] FAIL You have 30 days to bring your system into compliance with current
regutations. When you are ready for reinspection, call 651/644-1469 for an appointment.
Is there another place where clear water enters the sanitary sewer system? ~ Yes ~-'i'~o
Where is this location?
This area will need to be fixed so the clear water discharges to the storm sewer system.
Inspector: Date: ~'- ~3- ~ 9
Resident: ~ Date: ~- ,.t~ - y y'
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.
City of Prior Lake
Sump Pump and I/I Reduction
White: Homeowner Yellow:' City Pink: HRG