HomeMy WebLinkAboutSump Pump Inspection.r _ ,
~
(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:
~ Laundry tub ~ Sanitary sewer ~ Outside
~ 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
O Water in basement ~ Previous system failed
B. ROOF LEADERS: ~ Yes Q No DISCHARGE: 1~ Near ~ Away
C. YARD DRAINS ~ Yes I~ No WINDOW WELLS I~ Yes 1'1~ No
BEAVER 5YSTEM ~ Yes ~ No
• D.
NOTES:
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!! 651/644-1469 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 ~'ixed so the clear water discharges to the storm sewer system.
Inspector: Date:
;~~f ~ ';~~~" ~ Date: °`'p ~ 'i~ ~~ ~
Resident: ~ ` ' ~ ~ ~
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.
PROPERTIES WITH SUMP P S
When does pump run? Fall J~ Summer f~ Spring ~ Winter
(check all that apply) How often does pump run?
Where does pump discharge to outside? ~ Front Back Q Side
White: Homeowner Yellow: City ~,~;[~'~T1~G
A. BASEMENT ~' Yes O No SiJMP BASKET ~ 0 1~ 2 ~ 3 ~
WATER IN BASKET C7 Yes ~ No SiJMP PUMP ~ 0 l~ 1~ 2 ~ 3 ~
WATER IN BASEMENT (flow over floor) ~ Yes ~ No CISTERN ~ Yes J~ No
~
Insnection Form
Name: TI Qc~ ~~ lYl ~1'1cc ..(~~ `Q a S
Address: ~~f ~~ ~` ~~h~ ~Y~~f ~ ~'V
Prior Lake, MN 55~ Phone: y~~7~7~ ~ ~
A. BASEMENT ~Yes ~ No SiTMP BASKET ~ 0 ~ 1 ~ 2 ~ 3 ~
WATER IN BASKET '~Yes ~ No SUMP PUMP ~ 0,~ 1~ 2 ~ 3 ~
WATER IN BASEMENT (flow over floor) ~ Yes C~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: ~ Floor drain ~ Other
Prior to Inspection: 2
When was system installed, or most recently modified? (Date) ` ~_ and why
~ Home came with system .J~Response to inspection program ~ Other
~ Water in basement I~ Previous system failed
B. ROOF LEADERS: "~( Yes ~ No DISCHARGE: ~ Near ~ Away
C. YARD DRAINS a Yes ~ No WINDOW WELLS ~ Yes ~No
BEAVER SYSTEM ~ Yes ~ No
D. PROPERTIES WITH SUMP PUMPS
When does pump run? ~ Fall ~ Summer ~ Spring L7 Winter
(check all that apply) How often does pump run?
V~here does pump discharge to outside? Q Front Back ~ Side
NOTES:
_ -_ _
SUMP PUMP SYSTEM: ~PASS ~ FAIL You have 30 days to bring your system into compliance with cur~ent
regulations. When you are ready jor reinspection, catl 651/644-1469 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 fi d o the cle water discharges to the storm sewer system.
Inspector: Date: ~2. ~
Resident: Date: ~ 2 - ~ ~ -%/~
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.
v~J~° ~~9-~aI~-D
City of Prior Lake
Sump Pump and I/I Reduction
Date: %~' ~'~Z9~~ / ~ Time: ~~~~~.m /p.m.
First Inspection ~ Second ~
Own:`~ Rent: ~ Age of Home:~
Residential: ~
Non-Residential: ~
White: Homeowner
Yellow: City
Pink: HRG
,~_ .F . ~ ~
.~ . , k
.a:+w.,,. ~_~
q
~
~~
~
~'?? G~ .. ' Z t ~ ('~'' ., r ~-~ -1'l
A. BASEMENT ~s ~ No SiJMP BASKET ~ 0 ~~ 2 ~ 3 ~
WATER IN BASKET L~'Yes a No SI7MP PUMP ~ 0 ~~ 2 ~ 3 ~
WA1'ER IN BASEMENT (flow over floor) D Yes 13~~ CISTERN O Yes ~'b
(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 ~I Sanitary sewer A~tside
at Inspection: ~ Floor drain d Other
Prior to Inspection:
When was system installed, or most recently modi~ed? (Date) D `~ and why ~
~ Home came with system ~ Response to inspection program ~Other ~/~ ~~ /~u ~c ~< k l ~" ~ f~
~ Water in basement ~ Previous system failed r'.~ //-r.~ ~~. t f ~~-K h s~ ~
"' ~ oU ~_ , ~J~
B. ROOF LEADERS: ~s ~ No DISCHARGE: ~ Near O-~4ro~ey
C. YARD DRAINS ~ Yes t~'No WINDOW WELi.S ~ Yes L~''1Q`o -
BEAVER SYSTEM a Yes la-~Qo
D. PROPERTIES WITH SUMP PUMPS
When does pump run? ~ Fall Summer Spring - d Winter .
(check all that apply) How often does pump run? r'~ ~ ~~~/ ,~r~ ~-. f 4~~ ~~°' "-s'
V~here does pump discharge to outside? Q Front Side
-•~•------- - -•-•-----
NO~TES: -•---• /~ ~ ~ Q- c ~ . . Q~ -~r ~ ~e-•-•-------•-•-•-------•-•-•-----•-•-•-•-----•-•-•---•-•-----•---
SUMP PUMP SYSTEM: ~ PASS AIL You have 30 days to bring your system into compliance with current
regulations. 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 ~'"1Qo
Where is this location?
This area will need to be fixed so the clear water discharges to the storm sewer system.
Inspector: Date: ~ Z ~ 9
Resident: ~'' Date: - a~' y 9
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