HomeMy WebLinkAboutSump Pump Inspection~~X
5
A. BASEMENT Jl~Yes ~ No SUMP BA5KET ~ 0 ~ 1 ~ 2 O 3 ~
WATER IN BASKET O Yes ~ No SUMP ~PUMP ~ 0 1~ 2 ~ 3 O
WATER IN BASEMENT (flow over floor) ~ Yes ~ No CISTERN ~ Yes 1~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:
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
B.
C.
D.
NOTES:
ROOF LEADERS: 17 Yes L~ No DISCHARGE: ~ Near ~ Away
YARD DRAINS ~ Yes No WINDOW WELLS 17 Yes ~ No
BEAVER SYSTEM 17 Yes ~ No
PROPERTIES WITH SUMP PUMPS
When does pump run? O Fall ,~ Summer ,y~Spring ~ VVinter
(check all that apply) How often does pump run?
V~here does p~mp discharge to outside? ~ Front Back ~ Side
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 appoi-ument.
Is there another place where clear water enters the sanitary sewer system? ~ Yes '~ No
Where is this location?
This area will need to_ ~e fi~ed so the clear water discharges to the storm sewer system.
Inspector:
Resident:
Date: G~' 1~
Date: ~:~ -/r. -!'
Disclaimer: This visual inspection is done with due diligence to find obvious clear water cross-connections
and does not imnlv the structure meets all Citv Codes.
White: Homeowner Yellow: City Pi • G
...i`,_ ~:. ..._p
/
~~i
~
(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 Q Outside
at Inspection: ~ Floor drain ~ Other
Prior to Inspection:
When was system installed, or most recently modified? (Date) and why
Q Home came with system 17 Response to inspection program ~ Other
Q Water in basement ~ Previous system failed
B. ROOF LEADERS: ~ Yes ~ No DISCHARGE: ~ Near O Away
C. YARD DRAINS ~ Yes ~ No WINDOW WELL5 ~ Yes ~ No
BEAVER SYSTEM ~ Yes ~ No
D. PROPERTIES WITH SUMP PUMPS
When does pump run? O Fall ~ Summer ~ Spring L'1 Winter
(check all that apply) How often does pump run?
V~here does pump discharge to outside? d Front Q Back O Side
NOTES:. .f~t-~.,., ~~ ~ is ~ h a ~-•--~~ c•---t~ •-•~ ~c~ ~ y~r ~ '---•-----•-•-•-•-•---•-•-----•---•-•-•-•-•-•---•-•-
-~
SUMP PUMP SYSTEM: PASS Q FAIL You have 30 days to bring your system into compliance with current
regu[ations. When you are ready for reinspection, call 651/644-1469,for an appoirument.
Is there another place where clear water enters the sanitary sewer system? ~ Yes L~'No
Where is this location?
This area will need to be fixed so the clear water discharges to the storm sewer system.
Inspector: ,u •; Date: `/- ~ ~ - q 9
Resident: ~ Date: f - ,~ ~ - ~ y
Disclaimer: This visual inspection is done with due diligence to find obvious clear water cross-connections
and does not unply the structure meets all City Codes.
White: Homeowner Yellow: City Pink: HRG
A. BASEMENT ~ Yes ~ No 5UMP BASKET ~ 0 ~ 1 ~ 2 ~ 3 ~
WATER IN BASKET O Yes ~ No SUMP PUMP ~ 0 Q 1 ~ 2 ~ 3 Q
WATER IN BA5EMENT (flow over floor) ~ Yes ~ No CISTERN ~ Yes ~ No
~~ . _`_
.-.- ,~
J
City of Prior Lake
Sump Pump and I/I Reduction
Ins~ection Form
Name: ~~~i~~ ~ ~~~-" /'~' Date:~ %~-~3 ~ Time:~~7 ~.m./p.m.
~~
/`!~!''~iy~y~ '7' ~~~~~ , ~~; 1 First Ins~on ~'Second Q ~
Address: ~ ~~ -~L•'J ~~~ ~J Own: ent: Age of Home: f
,~/ Residential: ~ ~
Prior ake, MN 55~~~ Phone:~"~~%~~~~ Non-Residentiai: ~
A. BASEMENT ' es ~ No~ /' SUMP BASKET ~ 0 [~~~_~1 2~ 3 ~
WATER IN BASKET t] Yes I~Qo 5UMP ~P~~ ~ 0 Q' 1 D 2~~~/~ ~ ~
WATER IN BASEMENT (flow over floor) ~ 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 of this form.)
Discharge Point Q Laundry tub ~ Sanitary sewer t~butside
at Inspection: ~ Floor drain ~ Other
Prior to Inspection:
When w system installed, or most recently modified? (Date) ~"" and why
l~~came with system Q Response to inspection program ~ Other
a Water in basement ~ Prev' s system failed
B. ROOF LEADERS: es ~ No DISCHARGE: O Near ~
C. YARD DRAINS ~ Yes Q°N~ WINDOW WELLS O Yes CYNo
BEAVER SYSTEM ~ Yes t~No
D. PROPERTIES WITH SUMP PUMPS ~~ ~
When does pump run? ~ Fall [Di'Summer prin ~ Winter
(check all that apply) How often does pump run? ~T~~ CA~ /~A/~
V~here does ump discharge to outside? ~ Front ck ~' e
NOTES: ~---•-• ~..~ /~i~IS --- j'=C~~-•-•-~~S ~•-•-•-•---•-•-•---•-•-•---•-•---•-•---•-----•---
f~r ~~
SUMP PUMP SYSTEM: ~ PASS You have 30 days to bring your, em into compkance nh current
reguladons. When you are ready for reinspection, ~al[ 651/644-1469 f an appoi ent.
-,t,....... ~ __--_"-%
Is there another place where clear water enters the sanitary sewer system? Q Yes o
Where is this location? ~>
This area will need to be xe so the clear w er~charges to the storm sewer system.
Inspector: ~ /~'`~` `""r Date: ...~ - ~ s' ~/
Resident: ,~ //~( , ~ ~ ~ ( ~ i Date: -13-
I Disclaimer: This v si ual inspection is done with due diligence to find obvious clear water cross-connections I
and does not implv the structure meets all City Codes.
White: Homeowner Yellow: City Pink: HRG