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Home My WebLink AboutSump Pump InspectionA. BASEMENT ~ Yes ~ No 5UMP BASKET ~ 0 1 Q 2 ~ 3 ~ WATER IN BASKET ~Yes ~ No SUMP PUMP ~ 0 1 I~ 2~ 3 ~ WATER IN BASEMENT (flow over floor) ~ Yes ~ No CI5TERN ~ 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 Q Laundry tub ~ Sanitary sewer ~ Outside at Inspection: ~ Floor drain ~ Other B. C. D. NOTES: 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 ROOF LEADERS: 1~ Yes ~ No DI5CHARGE: ~ Near a Away YARD DRAINS ~ Yes No WINDOW WELLS ~ Yes ~ No BEAVER SY5TEM ~ Yes~ No PROPERTIES WITH SUMP PUMPS When does pump run? ~ Fall ~ Summer ~ Spring Q Winter (check all that apply) How often does pump run? Where does pump discharge to outside? C7 Front ~ Back Side SUMP PUMP SYSTEM: ~ PASS ~ FAIL You have 30 daysTo bring your system into eompliance with current regu[ations. When you are ready far reinspection, ca11 651 /644-1 469 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 jq~e, fi~:e~ so tl~e clear water discharges to the storm sewer system. Inspector: [..r't/ Date: ~ Resident: / _ _ _ _ ~-~ ..~-, j,~~ Date: ~ Disclaimer: This~ t~'`~al inspectio~ one with due diligence to find obvious clear water cross-connections and does not imniv the structure meets all Citv Codes. White: Homeowner Yellow: City '• RG ~;-- ~-~:a„•. ~a ~ PRIp~ p • .: ~~ ~ ~ { ~ City of Prior Lake Sump Pump and I/I Reduction Inspection Form ~;~,.~~- Name: l.1G v ti r 1~ f v ~ v~c w , Address: ~~ ~~ ~`'a ~~ h~ ~i~f ~ ~~~ Prio . Lake, MN 55~~ Phone: ~y0'"~~6 ~ Date: 12~` ~~-- ~q Time: g: ~o a.m.~ ~_._~ First Ins ection ~ Own ~ ent: ~ Residential~ Non-Residential: ~ Second ~ Age of Home: ~~ ~{ A. BASEMENT ~Yes a No SUMP BASKET Q 0~ 1 ~ 2 ~ 3 ~ WATER IN BASKET`~Yes a No SiJM PiJMP ~ 0~, 1~ 2 ~ 3 Q WATER IN BASEMENT (flow over floor) ~ Yes ~To 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 at Inspection: B. C. D. NOTES: SUMP PUMP SYSTEM: ~ASS ~ FAIL You have 30 days to bring your system into compliance with current regu[ations. When you are ready for reinspection, cal[ 651 /644-1469 for an appointment. Is there another place where clear water enters the sanitary sewer system? ~ Yes ~1 No Where is this location? This area will need to,~i~fhx~ s~the c~ear w~ter discharges to the storm sewer system. Inspector: t;+< ' ~'z"'''" ~ Date: ~ ~ L..V~ ~`'~"~ Resident: ,~' ; ~_ t _ < <~< Date: ~- l~ ~1 r - ~' y Disclaimer: This v~su~l inspection is e with due diligence to f'lnd obvious clear water cross-connections and does not im 1 e structure meets all Cit Codes. White: Homeowner Yellow: City Pink: HRG ~ Laundry tub ~ Sanitary sewer ~Outside /' Q Floor drain ~ Other Prior to Inspection: When was system installed, or most recently modified? (Date) `~ and why O Home came with system ~Response to inspection program ~ Other Q Water in basement ~~'revious system failed ROOF LEADERS: ~ Yes ~ No DISCHARGE: ~ Near~Away a YARD DRAINS 17 Yes o WINDOW WELLS ~] Yes~No BEAVER SYSTEM ~ Yes No PROPERTIES WITA SUMP PUMPS When does pump run? O Fall ~ Summer ~Spring I~ Winter (check all that apply) How often does pump run? V~here does pump discharge to outside? ~ Front a Back Side ,~'. _ ~ ~ ~ "J~ ~ A. BASEMENT ~~f No SUMP BASKET ~ 0 ~ L~ 2~ 3 ~ WATER IN BASKET ~ Ca No SUMP PUMP O 0 C~ ~ 2 Q 3 ~ WATER IN BASEMENT (flow over floor) ~ Yes L~-PdtT' CISTERN ~ Yes 17-~'~ (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: ~ Floor drain Q Other Prior to Inspection: When was system installed, or most recently modi~ed? (Date) L~Home came with system O Response to inspection program ~ Water in basement ~ Previous system failed ~ Other and why B. ROOF LEADERS: ~O No DISCHARGE: ~ Near ~y C. YARD DRAINS ~ Yes ~ No WINDOW WELLS ~ Yes ~ BEAVER SYSTEM ~ Yes t~o~ D. PROPERTIES WITH 5UMP PU~~S When does pump run? ~Fall ~ er ring ~ Winter 9 / -~fi,r ~s,`~~ (check all that apply) How often does pump run. ~~y ~_ u~,, v~~•~ -~ V~here does pump discharge to outside? ~ Front ~C' r?-,esee- ----~-~-•-•-•- -•y-•-•-•-•-•-•-•-•-•---•-•---•-•-•---•-•-•---•-•-•---•-•-----•---•-•- NOTES: Px Lt /St --{~ O~ fS i P e~ SUMP PUMP SYSTEM: ~ PASS lTt'AlL You have 30 days to bring your system into compliance with current regutations. When you are ready for reinspection, ca[[ 651 /644-1469 for an appoirament. Is there another place where clear water enters the sanitary sewer system? ~ Yes ~ No Where is this location? This area will need to be fixed so the clear water discharges to the storm sewer system. Inspector: ~ Date: ~- 2- 5 q Resident: ~' ~-; `-z . ~ Date: ~ - Z ~ - q y Disclaimer: This ~isual ins tio one with due ence to find obvious clear water cross-connections ~ ~ and does not imply the structure eets all City Codes. _ White: Homeowner Yellow: City Pink: HRG