HomeMy WebLinkAboutSump 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 I~ 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 I~Response to inspection program Q Other
Q Water in basement L~ Previous system failed
B. ROOF LEADERS: O Yes ~No DISCHARGE: ~ Near Q Away
C. YARD DRAINS ~ Yes ~No WINDOW WELi.S a Yes ~ No
BEAVER SYSTEM ~ Yes l~'No
D. PROPERTIES WITH SUMP PUMPS
When does pump run? C! Fall ~ Summer ~ Spring ~ Winter
(check all that apply) How often does pump run? rQJ.~iy~ _ _
V~here does pump discharge to outside? ~ Front Back Q Side
NOTES:
SUMP PUMP SYSTEM: ~PASS ~ FAIL You have 30 days to bring your system into comp[iance with current
regulations. When you are ready for reinspection, call~i~F~id~f~f'i6 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 lre fixed so the clear water discharges to the storm sewer system.
Inspector: Date:
Resident: .. r `:7 . .,~ ;,~ Date:
Disclaimer: This visual inspection is done with due diligence to ~"ind obvious clear water cross-connections
and does not implv the structure meets all City Codes.
White: Homeowner
Yellow: City
A. BASEMENT ~'"Yes a No SUMP BASKET Q 0 ~ 1 ~ 2 ~ 3 ~
WATER IN BASKET ~ Yes ~ No SUMP PUMP Q 0 19' 1~ 2 ~ 3 Q
WATER IN BASEMENT (flow over floor) D Yes ~ No CISTERN ~ Yes ~'No .
, ~ ti,; ~'i
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~
City of Prior Lake
Sump Pump and I/I Reduction
Ins~ection Form
Name: ~.P ~a_s S~~ , ~~-,E.~/ „~_ , _,
Address:~~~~-,~,s ,~1-~K~'v'i~"~c,l ~t ~~"
,//~,
Prior Lake, MN 55 Phone:~,.Z ~y~,2 50
NOTES:
Date: ~D --/d -~ ~ Time: .3~ a.m~
First Ins ection ~ Second .~'
Own: Rent: Ca Age of Home:
Resid n ial:
Non-Residenti : ~
A. BASEMENT ~ Yes ~ No SUMP BASKET Q 0~ 1 ~ 2 ~ 3 ~
WA1'ER IN BASKET~Yes O No S PUMP ~ 0 1~ 2 ~ 3 ~
WATER IN BASEME (flow over floor) ~ Yes No CI5TERN ~ Yes ~o
(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 ~! Outside
at Inspection: ~ Floor drain ~ Other r~
Prior to Inspection:
When was system installed, or most recently modified? (Date) and why
~ Home came with system L~ Response to inspection program ~ Other
Water in basement ~ Previous system failed
B. ROOF LEADERS: -~ Yes ~ No DISCHARGE: ~ Near ~ Away
C. YARD DRAINS ~ Yes o WINDOW WELLS O Yes~ No
BEAVER SYSTEM Ca 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 Q Side
SUMP PUMP ~SYSTEM: ~ PASS I~ FAIL You have 30 days to bring your system into comp[iance with current
regutations. When you are ready for reinspection, call 651 /644-1469 for an appointment.
Is there another place where clear water enters the sanitary sewer system? ~ Yes No
Where is thi ` ;~ocatior~?
This area w' ~ ed to be fixed so the clear water discharges to the storm sewer system.
ins»ecto ' ~ i J~~ Date: ~""~o~ "`~1 7~
Date:
Disclaimer: This visual inspection is drYne with due diligence to find obvious clear water cross-connections
and does not imply the structure meets a11 Cit.y Codes.
~ ~ ~
White: Homeowner ~ Yellow: City Pink: HRG
:~,;,_ _ .,,..
~,~ ~ ~
~n
G
(\
~b
A.
B.
C.
D.
NOTES:
~
SUMP PUMP SYSTEM: O PASS AIL You hav~o bring your system into comp[iance with current
regulaaons. When you are ready for reinspection, call 651 /644-1469 jor an appointment.
Is there another place where clear water enters the sanitary sewer system? ~ Yes ld' 1v o
Where is this location?
This area will need to be fixed so the clear water discharges to the storm sewer system.
Inspector: < ~/ Date: /~ /- 7 Y
Resident: Date: -7_ ~_ 9 y
-~--~-T
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.
~:
BA5EMENT ~~ s ~ No SUMP BASKET ~ 0 ~~ 2 ~ 3 ~
WATER IN BASKET L~''T'es O No SiJMP PUMP ~ 0 ~ O 2 ~ 3 ~
WATER IN BASEMENT (flow over floor) a Yes ~'No CISTERN Q Yes 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 C-1~Laundry tub ~ Sanitary sewer ~ Outside
at Inspection: ~ Floor drain ~ Other
Prior to Inspection:
When was system installed, or most recently modified? (Date)
~ Home came with system ~ Response to inspection program ~ Other
O Water in basement ~ Previous system failed
ROOF LEADERS:
YARD DRAINS
BEAVER SYSTEM
and why
C~'''I es ~ No DISCHARGE: 13 Near ~ Away
d Yes l3' No WINDOW WELLS ~ Yes L~o~
~ Yes ~3'N~o
PROPERTIES WITH SUMP PUMPS -~'~ --_~
When does pump run? ~ Fall _B'Summer ~~pring ~ Winter
(check all that apply) How often does pump run? ~~~'~ ~rw ~j'
V~Fhere does pump discharge to outside? ~ Front ~ Back 17 Side
White: Homeowner Yellow: City Pink: HRG
~,