The URL can be used to link to this page

Home My WebLink AboutSump Pump Inspection~ ~X (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 t] Laundry tub ~ Sanitary sew r ~ Outside at Inspection: a Floar drain ~ Other Prior to Inspection: When was system installed, or most recently modified? (Date) and why ~ Home came with system Response to inspection program ~ Other ~ Water in basement ~ Previous system failed B. ROOF LEADERS: ~ Yes ~ No DI5CHARGE: ~ Near Q Away C. YARD DRAINS Q Yes No WINDOW WELLS ~ Yes Q No BEAVER SYSTEM I~ Yes No D. PROPERTIES WITH 5UMP PUMPS When does pump run? D Fall ~ Summer (check all that apply) How often does pump run? V~here does pump discharge to outside? L~ Front NOTES: Spring 17 Winter !v'S I~ Back ~ Side SUMP PUMP SYSTEM: ~ PASS ~ FAIL You have 30 days to bring your system into compliance with current regulations. When you are ready for reinspection, ca[l 651 /644-1469 for an appointment. Is there another place where clear water enters the sanitary sewer system? ~ Yes 17 No Where is this location? This area will n~d to be fixed so the clear water discharges to the storm sewer system. Inspector: Resident: ,r J.~ . . - Date: 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 Pi G A. BASEMENT ~ Yes O No SUMP BASKET O 0~ 1 D 2 ~ 3 ~ WATER IN BASKET 1~Yes ~ No SiJMP PUMP ~ 0 J`~ 1~ 2 O 3 ~ ; WATER IN BASEMENT (flow over floor) ~J Yes ~ No CISTERN ~ Yes i~'No _ _ ~ . .. 1- ~ ~' ~ ~~ B. ROOF LEADERS: a Yes ~ No C. YARD DRAINS ~ Yes ~ No BEAVER SYSTEM O Yes D No D. PROPERTIES WITH 5UMP PUMPS When does pump run? ~ Fall ~ Summer a Spring a Winter (check all that apply) How often does pump run? V~here does pump discharge to outside? ~ Front ~l Back O Side NOTES: /~~S J'~+~i95 ~it/S 7rl LL E',p ~-•--r)•`/ C. '--~/ P~-----'~_y'+O NI -•-•-•-•-----•---•-•- t" / - /~t-t m P ?p 4 u 7~ 1 D tc,' ~,. SUMP PUMP SYSTEM: ID~P'ASS d FAIL You have 30 days to bring your system into compliance with current regulations. When you are ready for reinspection, ca11651 /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 will need to be ~~ clear w er d' rges to the storm sewer system. Inspector: %/~~ 'a`"'" ~""""'" Date: ~ -iG~ ~ Resident: .. ~~ 'YJrr .. ~, ~x Date: -.~~ - , ,~~ (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 a Sanitary sewer ~ Outside at Inspection: ~ Floor drain ~ Other and why DISCHARGE: ~ Near ~ Away WINDOW WELLS ~ Yes ~ No 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. Prior to Inspection: ~ When was system installed, or most recentl modi~ed? (Date) ~ r ~ ~ Home came with s stem I7.~esponse to ins ection program ~ Other Y p O Water in basement Q Previous system failed White: Homeowner Yellow: City Pink: ,HRG A. BASEMENT ; ~ Yes ~ No SUMP BASKET ~ 0 ~ 1 ~ 2 Q 3 ~ WATER IN BA5KET 17 Yes ~ No SUMP PUMP ~ 0 ~ 1 ~ 2 ~ 3 ~ WATER IN BASEMENT (flow over floor) ~ Yes ~ No CISTERN ~ Yes ~ No f ~. ~ Ae ~'~. ..,. . . .. AaY 9 ~~~ J~ ~~ C i`~y of Pric~r Lake Sump Pump and I/I Reduction Inspection Form ,~,o,~~~ Name:~~,C ,C.~ k~ ri9~ ~ ~,E'/.~' ~C./ Date:~ '~ ~ ~~ Time:~~~~.m./p.m. ~ First In~spfe ~'~'on ~Y Second ~ Address: ~~8~ ~~~~~it/~ ~/ /C~ Own: ~' Rent. Age of Home: / ResidentiaL• ~ ~~ Prior Lake, MN 55 ~~i~ Phone:~~4"~.7Q'~o~ Non-Residential: ~ A. BASEMENT- l1~'S'es a,,P~o SiTMP BASKET Q 0 I~l,/C) 2 Q 3 ~ WATER IN BA5KET C~'es O No SUMP~~~~ ~ 0 l'~'3~1 O 2~ ~ WATER IN BASEMENT (flow over floor) ~ Yes o CISTERN I~ Yes o (Tf 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 d Sanitary sewer L9'Outside at Inspection: Q Floar drain ~ Other Prior to Inspection: ~---. When as system installed, or most recently modified? (Date) and why ~' Home came with system ~ Response to inspection program ~ Other Q- Water in basement Q Previous sy failed B. ROOF LEADERS: ~ Yes o DISCHARGE: ~ Near ~ A ay G YARD DRAINS a Yes L~_'" N~ WINDOW WELLS ~I'es ~ No BEAVER SYSTEM ~ Yes ~IrNo D. PROPERTIES WITH 5UMP PUMPS When does um run? ~ Fall ~ Summer rin ~ Winter P P ~ g (check all that apply) How often does pump run?~/~~O ~E~7 Where does pump discharge to outside? ~ Front ~ Back ~ Side NOTES:._._.~LL~X._./y~SE --~ --D~'S/~•C •-•---•---•-•---•-•-•-•-•-•-•-•-•---•---•-•-•-•-----•---•-•- ~~ . SUMP PUMP SYSTEM: ~ PASS I~AIL You have 30 days to bring your system into compliance with current regulations. When you are ready jor reinspection, ca[l 651 /644-1469 for an ent. Is there another place where clear water enters the sanitary sewer system? ~ Yes dL~J~ Where is this location? This area will need to b xedrs~he clear~ate~charges to the storm sewer system. Inspector: • /~"'-, ~---'' `~~0 3 - ~7l 7~ Date: ,~' ~ ' ~ `~' Resident: ,c, ,~( i;- 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