HomeMy WebLinkAboutSump Pump InspectionY~
A. BASEMENT ~ Yes ~ No 5UMP BA5KET t7 0~ 1 ~ 2 ~ 3 ~
WATER IN BASKET ~ Yes ~ No SUMP PUMP ~ 0 1~ 2 Q 3 O
WATER IN BASEMENT (flow over floor) ~ Yes ]~No CISTERN ~ Yes ~Vo
_`
(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 `~klResponse to inspection program Q Other
C7 Water in basement ~ Previous system failed
B. ROOF LEADERS: ~ Yes ~ No DI5CHARGE: ~ Near ~ Away
C. YARD DRAINS ~ Yes~' No WINDOW WELL5 ~ Yes ~ No
BEAYER SYSTEM ~ Yes~ No
D. PROPERTIES WITH SUMP PUMPS
When does pump run? I~ Fall ~ Summer ~ Spring ~ Winter
(check all that apply) How often does pump run? ~T~ q~ ~t.~h~
V~here does pump discharge to outside? a Front O Back ~ Side
NOTES:
SUMP PUMP SYSTEM: ~ PASS ~ FAIL You have 30 days to bring your system into compliance with current
regulations. 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 this location?
This area will need to be fixed so the clear water discharges to the storm sewer system.
Inspector:
Resident:
~
Date:
Date:
Disclaimer: This visual inspection is done with due diligence to find obvious clear water cross-connections
and does not implv the structure meets all City Codes.
White: Homeowner Yellow: City 1
d ~. A ':
/ ~
r~
(If no pump, place sticker across edge of sump cover and basement floor so any removal of cover wilt
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
~ Home came with system O Response to inspection program ~ Other
~ Water in basement ~ Previous system failed
B. ROOF LEADER5: Q Yes ~ No DISCHARGE: ~ Near ~ 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 Q Winter
(check all that apply) How often does pump run?
V~here does pump discharge to outside? a Front O Back ~ Side
--- -----~------~~----------~---~------~
NOTES:'-- ES. AS ,~.c"I,~GA~E,p GE'X o.s~" --- ~~~,,;~ ----•-•-----
z ~~ r-~c.
SUMP PUMP SYSTEM: ~I'ASS 17 FAIL You have 30 days to bring your system into compliance with current
regulations. When you are ready for reinspection, ca11651 /644-1469 for an appointment.
Is there another place where clear water enters the sanitary sewer system? C] Yes ~ No
Where is this location?
This area will need to b ed e clear wat disc es to the storm sewer system.
Inspector: Date: - -
Resident:r Date: - Z ~
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 Pink: HRG
A. BASEMENT ~ Yes ~ No SiJMP BASKET ~ 0 ~ 1 ~ 2 ~ 3 ~
WATER IN BASKET ~ Yes Q No SUMP PUMP 17 0~ 1 O 2 ~ 3 ~
WATER IN BASEMENT (flow over floor) a Yes ~ No CISTERN ~ Yes ~ No
~ ,
~ . ~~~
: r ~!
~~
~
~~
~
City of Prior Lake
Sump Pump and I/I Reduction
Insuection Form
Name: '~~i~.~(./"~,~C, ~,G,~,-tl~i~ Date;~C~ ~~"~,,~Tim~_~~/p.m.
,
~~~/ ~ ~/~~~, J~~ ~~ First Inspe ' n econd ~ ~
Address: «' ~~~ Own: Re~nt~: '" ~Age of Home:
~, ~~,/ Residential: ~'"
Prior Lake, MN 55~„~~~ Phone"'`'~` ~~~i~ Non Residential: ~
~v~~~~ ~
A. BASEMENT es O No SUMP BASKET ~ 0 2~ 3 ~
WATER IN BASKET ~ Yes o SUMP~~~ ~ 0 1~ 2~
WATER IN BASEMENT (flow over floor) ~ Yes o CISTERN ~ 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 ~ Laundry tub
at Inspection: ~ Floor drain
Prior to Inspection:
When w system installed, or most recently modified?
~
L~ Sanitary sewer tside
~ Other
s ~ r°
(Date) ~ ~ and why
~ Home came with system ~ Respons to inspection program ~ Other
O Water in basement ~ Pre ' s system failed
B. ROOF LEADERS: Yes ~ No DISCHARGE: I~ Near way
C. YARD DRAINS ~ Yes [D~'No WINDOW WELLS ~ Yes I~~
~AVER SYS1'EM ~ Yes ~
<~ ~ ~ ~
D. PROPERTIES WITH 5UMP PUMPS ~
, When does pump run? ~ Fall ummer Qring Winter
(check all that apply) How often does pump run? ~~
V~here does ump discharge to outside? ~ Front ~ Back C] Side
- -~-=''= •-•-•--
NOTES:--•-•-•---C-.~~ ~ AS----- LC~~---- -~SG~-•--- -•~m --~--~~---•-•-
~~ c,l
~To E"/G /~cl }-' ~/
SUMP PUMP SYSTEM: ~ PASS FAIL You have 30 days to bring your system into compliance with current
regulations. When you are ready for reinspection, cal[ 6511644-1469 for an appo' .
Is there another place where clear water enters the sanitary sewer system? ~ Yes o
Where is this location?
This area will need to be fi so ear water ' c s to the storm sewer system.
Inspector: ~ `" Date:
Resident: .,r ~- Date: ~ - .. . -
Disclaimer: This visual inspectio ~s done with due diligence to find obvious clear water cross-connections
and does not im 1 the structure meets all Cit Codes.
~'.E/E G'.~.'A~~~,E D ,~'~ 3- ~/ ~3
White: Homeowner Yellow: City Pink: HRG