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Home My WebLink AboutSump 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 17 Laundry tub Q Sanitary sewer ~ Outside at Inspection: ~ Floor drain ~ Other Priar 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. ROOF LEADERS: ,~ Yes Q No DI5CHARGE: ~ Near 17 Away C. YARD DRAINS ~ Yes No WINDOW WELLS Q Yes ~ No BEAVER SYSTEM ~ Yes No D. PROPERTIES WITH SUMP PUMPS When does pump run? ~ Fall ~ Summer ~ Spring ~ Winter (check all that apply) How often does pump run? V~here does pump discharge to outside? I~ Front Back ~ Side NOTES: SUMP PUMP SYSTEM: ~ PASS O 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 appointmera. Is there another place where clear water enters the sanitary sewer system? ~ Yes ~ No Where is this location? This area will need to b~~ixe~} so tl}e clear water discharges to the storm sewer system. Inspector: \ ' ' Date: Resident: " _ f ' 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 Pi ~ A. BASEMENT ~ Yes ~ No SiJMP BASKET Q 0~ 1 O 2 ~ 3 ~ WATER IN BA5KET ~ Yes Q No SLJMP PUMP ~ 0 1~ 2 ~ 3 ~ WATER IN BA5EMENT (flow over floor) ~ Yes ~ No CISTERN L~ Yes ~No ~~~ PRI~'~'~ City of Prior Lake ~ ~ ~ ~ Sump Pump ar~d I/I Reduction ~ INNES°`~ Inspection Form Name: ~ ~ ~fZC-E. Date: ~I? ~ ~"J - ~ ~ Time: l 0 : ~f~. Inspection: ~ First ~ Second Address: ~~J~~Z ~~>L~Nfl U ~~( ~.p ~ Own ^ Rent Age of Home: ~_ Prior Lake, MN 55372 Phone: ~ Residential ~ Non-Residential A. BASEMENT S~Yes `~ No SUMP BASKET ^ 0 ~ 1 p 2 ^ 3 p WATER IN BASKET ~QYes ~~D No SUMP PUMP p 0 1^ 2 ^ 3 ^ WATER IN BASEMENT ~Yes~~ No CISTERN O Yes ,~No (If no pump, place sticker across edge of sum er and basement floor so any removai of cover will break seal. Skip to Part B.) Discharge Point ^ Laundry tub ^ Sanitary sewer ~ Outside at Inspection: p Floor drain ^ Other Prior to Inspection: /~,~~ ~ When was system installed, or most recently modified? (Date) ~~~~Q. ,C~JV2- and why? ^ Home came with system Response to inspection program p Other 'p Water in basement ~Previous system failed • B. ROOF LEADERS ~' Yes p No DISCHARGE ~Near p Away C. YARD DRAINS O 1'es No WINDOW WELLS ^ Yes ~I No , BEAVER SYSTEM p Yes ~No D. PROPERTIES WITH SUMP PUMPS - When does pump run? 0 Fall ~ Summer ~ Spring ^ Winter (check all that apply) How often does pump run? - Where does pump discharge to outside? ^ Front ~Back ^ Side NOTES:• -~-•-~-~- --._._._._..._._._._._..- -.-•-•-•-•-•-•-.-•-•-•-• , .-.- -.-- -. - -._.__.__.,~._._._._. ._._._._._._. __..._._._._... _._ SUMP PUMP SYSTEM: ~ PASS ^ FAIL Ynu hare 30 days ~n hring ym~r.tyslen+ iiNO cowplirurce wilh currenl regula~ion.s. When yofi are reacly./or rr-in.~peclinn, caU 9521447-9833.~~r un appoinlmem. 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 dischazges to the storm sewer system. Inspector• Date: ~ I~K.JZ 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. ~~`~ ~ ~ /e~ ~ ~~ ~'~ . ~~~~~z ~ ~~ ~ ~ L v v+~/*/ L ~ A. BASEMENT ~s a No SUMP BASKET Q 0 A~1 ~ 2 t] 3 O WA1'ER IN BASKET A-~es ~ No 5UMP PUMP O 0 ~~ 2 ~ 3 ~ WATER IN BASEMENT (flow over floor) ~ Yes C-#~IQo CIS1'ERN ~ Yes 13-~ (If no pump, place sticker across edge of sump co~er and basement floor so any removal of cover will break seal. Skip to Part B of this forr~. ) Discharge Point d Laundry tub L~anitary sewer ~ Outside at Inspection: Q Floor drain ~ Other Prior to Inspection: When was system installed; or most recently modified? (Date) and why C~3'~Home came with system ~ Response to inspection program O Other C7 Water in basement Q Previous system failed B. ROOF LEADERS: ~~ No DISCHARGE: l~' Near ~ Away C. YARD DRAINS Q Yes ~o WINDOW WELLS ta Yes Ay~Qo BEAVER SYSTEM ~ Yes l~~o D. PROPERTIES WITH 5UMP PUMPS ~~--~- When does pump run? ~ Fall C~'Summer ~ring O Winter (check all that apply) How often does pump run? ~~, ~; ~ ~y ~ u n S V~here does pump discharge to outside? ~ Front O Back' ~l Side NOTES: ~---• ~G •---~ •---5-9 ~ ,' fa r S/ ,,,5~ ~..v~~, -•-•---•-•---•-•-•-•-•---•-•---•-•- ---•-•-•-•-----•-•-•-•- ~}~~P~ - ~"~ ~ ~ ~ -~~~ 7"e s k e. SUMP PUMP SYSTEM: O PASS I.S t'AlL You have 30 days to bring your ~ .iutacer~p~ce with current regulations. When you are ready for reinspection, c 651/644-1469 or an appointment. Is there another place where clear water enters the sanitary sewer system? l7 Yes i'~o Where is this location? This area will nee o be fixed so the clear water discharges to the storm sewer system. Inspector• i~/.,crcAs' /YY/~'.~~,.~~ Date: f.t =/~ ` 9 Resident~i ,.~ , ~-~ ~ ,,,o,,c~.~~ Date: ~ =/~ - 9' Disclaimer: ~'his visual inspection is done with due diligence to find obvious clear water cross-connections and does not implv the structure meets all Citv Codes. White: Homeowner Yellow: City Pink: HRG :~