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Home My WebLink AboutSump Pump Inspection~ (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 L7 Laundry tub ~ Sanitary sewer ~ Outside at Inspection: O Floor drain O Other Prior to Inspection: (y q When was system installed, or most recently modified? (Date) -I ~ 1 and why ~ ~ Home came with system ~ Response to inspection program ~ Other ~ Water in basement ~ Previous system failed B. ROOF LEADERS: 1~ Yes d No DISCHARGE: ,~ Near Q Away C. YARD DRAINS ~ Yes j~ No WINDOW WELLS ~ Yes ~ No BEAVER SYSTEM D Yes I~ No D. NOTES: SUMP PUMP SYSTEM: ~ PASS ~ ~ FAIL You have 30 days to bring your system into compliance with current reguladons. When you are ready for reinspection, ca[I 651 /644-1469 for an appointment. Is there another place where clear water enters the sanitary sewer system? Q Yes ~ No Where is this location? This area will need to be fixed so the clear water discharges to the storm sewer system. Resident: Date: ~ '~$~ 03 Date: Disclaimer: This visual inspection is dbe~with due diligence to find obvious clear water cross-connections and does not impl_y the structure meets all City Codes. PROPERTIES WITH SUMP PUMPS When does pump run? ~ Fall ~ Summer Sprin ~ Winter (check all that apply) How often does pump run? `~' (~i ~~ V~here does pump discharge to outside? ~ Front J~ Back O Side White: Homeowner Yellow: City A. BASEMENT J~.Yes ~ No SUMP BASKET ~ 0~ 1 ~ 2 ~ 3 ~ WATER IN BASKET ~ Yes a No SUMP PLTMP a 0,~ 1 I~ 2~ 3 d WATER IN BASEMENT (flow over floor) ~ Yes ~ No CISTERN O Yes ~No ..,. ,: ~.. ~~ ~o ~~~ ,~ ,~ r~ ~ Ci~t~ of Pric~~ Lake Sump Pump and I/I Reduction . Inst~ection Form ~~;. Name : l. a -~ `~~ ; , ~~, ~ t ~ ~. K ~- ~/ ~ c k ~ Address : ~ r a~'~' 9~~ w~ o,~"f' ~ ~. /1~ ~Al Prior Lake, MN 55 ?'7~ Phone: d D- ~/3-7~ Date: --1 ~-`~9 Time: DO 4 a.m./p.m. First Inspection ~ Own: l~''"Rent: ~ Residential: L~'" Non-Residential: ~ Second Ca'~ Age of Home:~~. 7~ ~a ~u>~,f A. BA5EMENT f3'~'es ~ No SUMP BASKET ~ 0 ~ Q 2 ~ 3 C] WATER IN BASKET I]-T~es ~ No SiJMP PUMP 17 0 C~ ~ 2 Q 3 ~ WATER IN BASEMENT (flow over floor) d Yes ~-IQo CISTERN ~ Yes ~~i'a"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 ~ Laundry tub ~ Sanitary sewer utside at Inspection: Q Floor drain Q Other Prior to Inspection: When was system installed, or most recently modified? (Date) u~ /~ and why ~ Home came with system ~ Response to inspection program a Other ~ ~ Water in basement ~evious system failed B. ROOF LEADERS: ~'"Yes ~ No DISCHARGE: ~''1~1ear Q Away C. YARD DRAINS ~ Yes ~_~ ~ WINDOW WELLS Q Yes !a-~V`S BEAVER SYSTEM C] Yes ~'No D. PROPERTIES WITH SUMP PUMPS ~/'~ ~ ~,/ When does pump run? a Fall D~Summer D~'Spring ~ Winter (check all that apply) How often does pump run? /~-~ frr (~a ;~S V~here does pump discharge to outside? 17 Front ack ~ Side NOTES: ,~fr~~<n~ ~~faG/~ ~ /Vt ~ (~ VG ~ o u f.S~ ~P, -•-----•-•-•-•-•-•-•- - - -------•-•-•- SUMP PUMP SYSTEM: PASS ~ FAIL You have 30 days to bring your system into comp[iance with current regulations. When you are ready for reinspection, cail 651/644-1469 for an appointmenr. Is there another place where clear water enters the sanitary sewer system? ~ Yes A~'1'~0 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 9 Resident: , ', '~, , .,,, ) Date: ~'= /3 - 99 Disclaimer: This visual inspection is done with due diligence to find obvious clear water cross-connectio~ and does not imply the structure meets all City Codes. White: Homeowner Yellow: City Pink: HRG ..,~. ,~ ~ City of Pri~r Lake Sump Pump and I/I Reduction Insnection Form Name ~ ~~~~ s ~~G7~E~~ ~ Dat~ ~~ g~im~~~m. /p.m. ~~~/ Q / First In~_s~ e. ~°on ~econd ~ Address: CJ~ ,~c~~~~/~/~/~ ~~/ Own: ~ Rent: ~~Age of Home: ~ ~y ~/ // Residential: L~'"~ Prior ~,ake, MN 55~ !~ Phon~`i`~o ~`~'~~~~ Non-Residential: I~ A. BA5EMENT, I~'Yes ~ No~/ SLTMP BASKET O 0 ~~~1 2~ 3 ~ WATER IN BA5KET ~ Yes @'No SiJMP ~P~~ ~ 0 I~1 O 2~ ~~ /3 ~ WATER IN BASEMENT (flow over floor) ~ Yes L 9' N o CISTERN ~ Yes L~ 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 O Laundry tub anitary sewer 17 Outside at Inspection: CI Floor drain ~ Other Prior to Inspection: When w ystem installed, or most recently modified? (Date) and why Home came with system ~ Response to inspection program ~ Other Q Water in basement Q Prev' s system failed B. ROOF LEADERS: tzJ' Yes ~ No DISCHARGE: ~ Near C7'Away C. YARD DRAINS I~ Yes @`'N WINDOW WELLS ~ Yes D'No i BEAVER SYSTEM a Yes o D. PROPERTIES WITH SUMP PUMP5 1 ~- When does pump run? Q Fall C4~'~ummer rin~j 1J ~ Winte (check all that apply) How often does pump run? ~~~~K /7~~ ~A ~"-~ V~here does pump dis rge to outside? ~ Front ~ Back ~' e r~~- ~~ .,.,.._._._.---------•---•-•-•-•-•-•-•-----•-•-•- NOTES:._._.c~ V ~-._._._ _/.~.~._._...~-•-~'{~~ ~---~ C ~~ ~ U ,~) SUMP PUMP SYSTEM: ~ PASS IL You hav days to bring your system into compliance with current regutations. When you are ready for reinspection, call 651 /644-1469 for an appointme . Is there another place w ere clear water enters the sanitary sewer system? ~ Yes o Where is this locatio . This area will need t e e so the cle wate ischarges to the storm sewer system. Inspector: Date: ' Resident~ / . i ~ T:r. . ~ _„ ..~ Date: - y ' Disclaimer: This visual inspection is done with due diligence to find obvious clear water cross-connections I and does not impl the structure meets all City Codes. White: Homeowner Yellow: City Pink: HRG