HomeMy WebLinkAboutSump Pump Inspection
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B.
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NOTES:
SUMP PUMP SYSTEM: ~ PASS ~ FAIL You have 30 days to bring your system into comp[iance with current
regulatiorts. 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 ~ No
Where is this location?
This area will need to b~ix so e clear water discharges to the storm sewer system.
Inspector. Date: ~j
Resident: ; , ~,s~ _ ,;rG 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 ~ Sanitary sewer ~ Outside
at Inspection: O Floor drain ~ Other
Prior to Inspection:
When was system installed, or most recently modified? (Date) . ~nd why
~ Home came with system Response to inspection program ~ Other
Q Water in basement Previous system failed
ROOF LEADERS: ~ Yes 17 No DISCHARGE: ~ Near ~ Away
YARD DRAINS ~ Yes No WINDOW WELLS ~ Yes ~" No
BEAVER SYSTEM ~ 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.
PROPERTIES WITH SUMP PUMPS
When does pump run? ~ Fall L~ Summer Q ~ g ~ Winter
(check all that apply) How often does pump run?
V~here does pump discharge to outside? Q Front Back Side
White: Homeowner Yellow: City . HRG
A. BASEMENT ~Yes a No SiJMP BASKET ~ 0 ~ 1 L~ 2~ 3 ~
WATER IN BASKET ~ Yes ~No SiJMP PUMP ~ 0~ 1 ~ 2 ~ 3 ~
WATER IN BASEMENT (flow over floor) ~ Yes ~No CISTERN ~ Yes l'~No
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(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 Q Outside
at Inspection: Q Floor 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
Q Water in basement I~ Previous system failed
B. ROOF LEADERS: ~ Yes ~ No DISCHARGE: ~ Near O Away
C. YARD DRAINS ~ Yes ~ No WINDOW WELLS ~ Yes ~ No
BEAVER SYSTEM ~ Yes d No
D. PROPERTIES WITH SUMP PUMPS
When does pump run? ~ Fall ~ 5ummer CI Spring -- ~ Winter
(check all that apply) How often does pump run?
V~here does ump dischar e to outside? ~ Front ~ Back Q Side
NOTES:--------•- E:~,-•-•- ~5----~~ST/~~GG E,p-•-•~.CGJ-•--~~T~,-------•-•-•-•-----•-•-
il~C v O~ ~Si,O~
SUMP PUMP SYSTEM: ~ASS L'~ FAIL You have 30 days to bring your system into compliance with current
regutations. When you are ready for reinspection, catt 6511644-1469 for an appoinhnent.
Is there another place where clear water enters the sanitary sewer system? ~ Yes L9-#e-
Where is this location?
This area will need to be` ed e clear er '"` a`rges to the storm sewer system.
Inspector: ~ Date: ~- -
Resident: „ ~ . ~~r,r.~f, ~-~-~~a ~'fl~ 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
A. BA5EMENT ~ Yes ~ No SIJMP BASKET ~ 0 D 1 ~ 2 ~ 3 a
WATER IN BA5KET ~ Yes ~ No SiJMP PUMP ~ 0 Q 1 ~ 2 ~ 3 ~
WATER IN BA5EMENT (flow over floor) ~ Yes L7 No CISTERN ~ Yes ~ No
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City of Prior Lake
Sump Pump and I/I Reduction
Inspection Form ,~
~
Name: ~~'`,C/~,~.C,, ~~~~~~'~ Data,~=~~ ~~ Timez~/~~aa.m./p.m.
,~~J
~~_t~ .~..r9~(/4 ~,~GJ ~/,C~i First Insp~ion ~ond ~ ,r~c
Address: Own: Ltl'" Rent: Age of Home:~
,~/ t/ Residential: ~ ...i
Prior Lake, MN 55 ~%Yi~ Phone":~'~~~~~'`.~"7 Non-Residential: ~
i v vw~ /L - ~ /
A. BASEMENT . es ~ N SiJMP BASKET .~ 0 ~`/I I~ 2~ 3 ~
WATER IN BASKET ~~~ No SiJMP P ~ Q 0 Ef'" 1~ 2~ O ~3-~17
WATER IN BASEMENT (flow over floor) ~ Yes L~~.~~~ CISTERN ~ Yes D'iQo
(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~ L~ r~y tub ~ Sanitary sewer ~ Outside
at Inspection: ~Floor drain ~ Other
Prior to Ins ection: (J
P ~ QS '~I
When w s system installed, or most recently modified? (Date) and why
LZYHome came with s stem Q Res onse to ins ection ro ram Q Other
Y P P P g
~ Water in basement a Pre 'ous system failed
B. ROOF LEADERS: Yes ~ No DISCHARGE: ~ Near ~way
C. YARD DRAINS a Yes LT-~'N~'`~ WINDOW WELLS O Yes ~-~o y
BEAVER SYSTEM ~ Yes [D/NO
D. PROPERTIES WITH 5UMP PUMPS ~ ~
When does pump run? O Fall CO.iSummer pring . ~ Winter
(check all that apply) How often does pump run? ,~~~~2,.,,
V~here does pump discharge to outside? ~ Front ~ Back ~ Side
NOTES:
SUMP PUMP SYSTEM: ~ PASS ~~AIL You have 30 days to bring your system into compliance with current
regulations. When you are ready for reinspection, catt 6511644-1469 for an appointmer
Is there another place where clear water enters the sanitary sewer system? ~ Yes
Where is this location?
This area will need to ix~ the cle~~ discharges to the storm sewer system.
Inspector:
Resident:
Date: ~ .2 ~ -
Date: .ZD-
Disclaimer: T~'s visual inspection is done with due diligence to find obvious clear water cross-conneMions
and does not imnlv the structure meets all Citv Codes.
White: Homeowner Yellow: City Pink: HRG