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HomeMy WebLinkAboutSump Pump Inspectioncann~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 `~ Outside at Inspection: Q Floor drain O Other Prior to Inspection: When was system installed, or most recently modified? (Date) ~ a~ and why ~ Honne came with system ~ Response to inspection program ~ Other Q Water in basement t7 Previous system failed B. ROOF LEADERS: Q Yes~ No DISCHARGE: ~ Near ~ Away C. YARD DRAINS ~ Yes No WINDOW WELLS ~ Yes,~ No BEAVER SYSTEM ~ Yes l~ No D. PROPERTIES WITH SUMP PUMPS When does pump run? ~ Fall a Summer ~ Spring ~ Winter (check all that apply) How often does pump run? V~here does pump discharge to outside? ~ Front Q Back Side NOTES: SUMP PUMP SYSTEM: ~ PASS 17 FAIL You have 30 days to bring your system into compliance with currenl regulations. When you are ready for reinspecrion, 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~ue~~bf~xed~o thenc}ear water discharges to the storm sewer sy~tem.~ Resident: Date: `T~~ Date: l~ - 1 i _ Disclaimer: 'I'his visual inspection is done with due diligence to find obvious clear water cross-connections and does not imnly the structure meets all City Codes. White: Homeowner Yellow: City . RG A. BASEMENT ~;Yes ~ No SUMP BASKET ~ 0 1~ 2 ~ 3 ~ WATER IN BASKET ~ Yes ~No SiTMP PUMP O 0 1~ 2 ~ 3 Q WATER IN BASEMENT (flow over floor) ~ Yes ~ No CISTE ~ Yes ~No ~~~ pRI~~~, City of Prior Lake ~ ~ Sump Pump and I/I Reduction ~ INNES°`~ Inspection Form Name: ~~~G~~~ Date: ~~ ZZ d Z Time: ~(~'• ~ am/~ ~ ~ Inspection: ^ First ~ Second Address: Z~~J ~~r ~~ V~ ,~ Own p Rent Age of Home: ~~S Prior Lake, MN 55372 Phone: 1-2~ ~~ ~Residential ~ Non-Residential I A. BASEMENT ~ Yes ^ No SUMP BASKET ^ 0 ~ 1 ^ 2 p 3 ^ WATER IN BASKET ~ Yes ^ No SUMP PUMP ^ 0 ~ 1 ^ 2 p 3 ^ WATER IN BASEMENT O Yes ~ No CISTERN O 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.) Discharge Point p Laundry tub at Inspection: p Floor drain p Sanitary sewer p Other Prior to Inspection: : /~~ When was system installed, or most recently modified? (Date) ~~~ •/-~~~ and why? ^ Home came with system p Response to inspection program ^ Other p Water in basement ~ Previous system failed B. ROOFLEADERS ^ Yes '~No DISCHARGE ^ Near pAway C. YARD DRAINS ^ Yes ~ No WINDOW WELLS p Yes ~No BEAVER SYSTEM ^ Yes t~-No D. PROPERTIES WITH SUMP PUMPS When does pump run? O Fall O Summer ^ Spring ^ Winter (check all that apply) How often does pump run? t1~~J~W1~~' ~~tJ~-~ ~V~ ~~t%'~ Where does pump discharge to outside? ^ Front ^ Back ~- Side rro~s: Ow~~ ~ ~ ~~c-u rJ~ ~Pi~PE~TY ' C'.tt~t,l! ~~I ~-~- -N~N ~nl N~~ -~-~-~-~-~-~-~- 1~r2 ~~ ~JA2~ ~ 1.~15~:~'7~tJ ~ P~1NG, Zc~~ ~~-' ~ SUMP PUMP SYSTEM: S$ f PASS ^ FAIL You hare 30 days In hring your ay.rlen~ iNO coruplinnce wilh cnrre~u regula~ions. When yox are ready for re-in.+rec~ion, ca!/ 9521447-9833. for u~i appoiunnen~. Is there another place where clear~water enters the sanitary sewer system? ~ Yes ~No Where is this location? This azea will need to be fixed so the clear water discharges to the storm sewer system Inspector: Date: I ~'~Ip2 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. ~ Outside ~W~ ~ Gor°`~ 1-.1.~( t~'i~ 3~2z ~oZ ~-~' .~ . VO o~' ~~ ~~ ~ ~ .~ ~~ ~ .. ~ 6~ _ a . . ~ . City of Prior Lake Sump Pump and I/I Reduction Inspection Form Name: Vt.~n r't"~ e V ~~ ~~ ~ Address: 2~4'~? ~.~~ ~r+ n P .~ ~ Prior Lake, MN 55~ Phone: ~~! 7- 6~~ 7 Date: ~'. ~ ~ . ,q Time: /~ l~a.m./p.m. First Inspection L'1'~rSecond ~ Own: 13~"~Rent: ~ Age of Home:~~ Residential: L~''' Non-Residential: I~ A. BASEMENT ~C-~'Yes ~~ No SiJMP BASKET ~ 0 ~~ 2 ~ 3 ~ WATER IN BASKET ~~" ~ Nq SUMP PUMP ~ 0 Q'?r a 2 ~ 3 ~ WATER IN BASEMENT (flow over floor) ~ Yes A~o CI5TERN ~ Yes L7~#~ (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 a Laundry tub ~ Sanitary sewer l~0utside at Inspection: I~ Floor drain ~ Other Prior to Inspection: When was system installed, or most recently modified? (Date) c~~- ?' ~ and why ~ Home came with system ~ Response to inspection program ~ Other r I~ater in basement ~ Previous system failed B. ROOF LEADERS: Q Yes A''iC"~o DISCHARGE: ~ Near ~ Away G YARD DRAINS ~ Yes ~o WINDOW WELLS Q Yes B-~ BEAVER 5YSTEM ~ Yes ~'~V"~o D. PROPERTIES WITH SUMP PUMPS When does pump run? ~ Fall C~''S`~ummer pring ~ Winter (check all that apply) How often does pump run? -~'~{-- f~~ (G i~ 1 V~here does pump discharge to outside? a Front ~ Back A-~Sid~e NOTES: ~---------~~~P X' /~~e. -•-•-•---•-~---•---•---•-•-•-•-•-•-•-•-•-•-•-•-•-•-•-•-•-•-•-•-•-•-•-•-•---•-•-•-•-•---•-•- SUMP PUMP SYSTEM: Q PASS AIL 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 B''l~o Where is this location? This area will nee~ be fixed so the clear water discharges to the storm sewer system. Inspector: ~^~1 Date: / - ~ ~ - Resid~nt: Date: - ,~a? . Disclaimer: This visual inspection is done with due diligence to find obvious clear water cross-connections and does not imply the structure meets all Cit.y Codes. White: Homeowner Yellow: City Pink: HRG