HomeMy WebLinkAboutSump 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 ~ Laundry tub ta Sanitary sewer ,~ Outside
at Inspection: Q Floor drain Ca Other
Prior to Inspection:
When was system installed, or most recently modified? (Date) SUMI~I~~~~i nd why
~ Home came with system ~ Response to inspection program l7 Other
d Water in basement Previous system failed
B. ROOF LEADERS: Q Yes~ No DISCHARGE: Q Near D Away
C. YARD DRAINS ~ Yes ~ No WINDOW WELLS ~ Yes~ No
BEAVER SYSTEM ~ Yes ~ No
D. PROPERTIES WITH SUMP PUMPS
When does pump run? ~ Fall ~ Summer ~ Spring ~ Win~e~
(check all that apply) How often does pump run? ~'~-'t t'~1
V~here does pump discharge to outside? ~ Front Back ~ Side
NOTES:
SUMP PUMP SYSTEM: ~ PASS 17 FAIL You have 30 days to bring your system into compliance with current
regulations. When you are ready for reinspection, call 651/644-1469,t'or an appointment.
Is there another place where clear water enters the sanitary sewer system? O Yes ~ No
Where is this location?
This area will need to be fixed so the clear water dischar~es to the storm sewer system.
Inspector: Date: ~ 3 6
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
A. BASEMENT ~, Yes ~ No 5UMP BASKET ~ 0 1~ 2 ~ 3 ~
WATER IN BASKET Yes ~ No SiJMP PUMP ~ 0 1~ 2 ~ 3 ~
WATER IN BA5EME T(flow over floor) ~ Yes ~No CISTERN ~ Yes ,~ No
f
~~ PRj~~P City of Prior Lake
~ ~
~ ~ Sump Pump and I/I Reduction
~rNNES°`~~ Inspection Form
Name: ~~j/~ n ~ c; ~~~;( `(~ ~ Date: ~ '~ ~ _ Time: ~~ ~~ 2 ~~ am/~
Inspection: ~ First ~ Second
Address: ~~' ~ ~".1~C~;~'t11~L~C"~ ~t~ ~ ~~ ^ Rent Age of Home: ~ ~ ` .
Prior Lake, MN 55372 Phone: ~~ Residential ~ Non-Residential
A. BASEMENT '~(. Yes = ^ No SUMP BASKET ^ 0~ 1 ^ 2 ^ 3 ^
WATER IN BASKET ~ Yes ~ No SUMP PUMP ^ 0~ 1 p 2 p 3 ^
WATER IN BASEME NT O 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.)
Discharge Point p Laundry ttxb p Sanitary sewer ~Outside
at Inspection: p Floor drai~ ^ Other
Prior to Inspection: '
~ n~,~i
~ "
h
When was system instal led, or most recently modified? (Date)
J~ Llt.~J 1
; ~ and w
y?
^ Home came with system p I~esponse to inspection program p Other
^ Water in basement ~'' Pi~evious system failed
B. ROOF LEADERS ^~es ~ No DISCHARGE p Near ^ Away
C. YARDDRAINS ^~es ~,No WiNDOW WELLS O Yes ~No
BEAVER SYSTEM ^ Xes ~ No
D. PROPERTIES WITH SUMP PU1VfPS
When does pump run? ^ Fall ^ Summer ^ Spring O Winter
(check all that apply) How often does pump run? 'V'1~~~1Q~~ /t` ~G~.r'yJS
Where does pump discharge to outside? p Front ^ Back ,~Side ~~S ~
- _ _ -. ~~~ ._._._._._._._._._....._._..._..._._._._._._._
NOTES: . `~_ O ~..._._....._._._._._._._._............._._._._._......._._._._._..._._._._._._._._..._._.r:
SUMP PUMP SYSTEM: ~PASS ^ FAIL You hane 30 days ro Ari~ig your.ryxrei~i inlo coruplirn~ce wi~h carren~
regulalimu. When ynr~ are ready fnr re-ins~ec~io~i, cul! 952/447+9833,~i~r ~u+ up~iNn~e~il.
Is there another place where clear water enters the sanitary sewer system?
Where is this location?
This area will need to be fixed so the clear water discharges to the storm sewer system.
Inspector: ~ Date: / ' ~ ~ ' D~
Resident: 4 - Date: ~ ' ~ ~ ' d~
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.
~ Yes ~ ~ No
ry~~ ~e~ cqv~r ~ re5 i ~¢" ? • t4' • ~!
.
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 Q Sanitary sewer ta""~utside
at Inspection: ~ Floor drain l7 Other
Prior to Inspection:
When was system installed, or most recently modi~ed? (Date) and why
~Home came wifih system ~ Response to inspection program ~ Other
~ Water in basement ~ Previous system failed
B. ROOF LEADERS: O Yes L~'No DISCHARGE: Q Near ~ Away
C. YARD DRAINS ~ Yes !'~1Q~o~ WINDOW WELLS ~ Yes ~'"No
BEAVER SY5TEM ~ Yes ~
D. PROPERTIES WITH SUMP PUMPS
When does pump run? ~ Fall ~ Summer ~ Spring 17 Winter
(check ~all that apply) How often does pump run? J'°~ M. ~~''~ /-? -~/ ~ 4 ~„ f'
V~here ~loes pump discharge to outside? O Front ~ Back .~~"_~~-~-
~NOTES:~---• ~~..`~X ---~~~- -- ~•-•-2~~.• 7~~ ~ cl~.' ----•-•-•---•-•-•--- -•-•-•--- ---•-•----- -•---•-----•-•-
;
SUMP PUMP SYSTEM: Q PASS AIL You have 30 days to bring your system tnto compliance with current
regulations. When yau are ready for reinspection, call 651 /644-1469 for nn appointment.
Is there another place where clear water enters the sanitary sewer system? ~ Yes ~~o
Where is this location?
This area will need to be fixed so the clear water discharges to the storm sewer system.
I Inspector: .', G~---'fr.~;~ Date: "7'~ 2 G=~ 9` I
Resident: ~{~~ ~ Date: ~ z ~ p,5
Disclaimert This visual inspection is done with due diligence to find obvious clear water cross-connections
and does not imulv the structure meets all Citv Codes.
~
White: Homeowner Yellow: City Pink: HRG
~~.,...r G ~
A. BASEMENT G~~s ~ No SiTMP BASKET ~ 0 ~r~ 2 D 3 ~
WATER IN BASKET ~ s C~ No SLTMP PUMP ~ 0 ~~ 2 ~ 3 ~
WATER IN BASEMENT (flow over floor) ~ Yes t~"o CI51'ERN ~ Yes L~hib