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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 at Inspection: ~ Laundry tub ~ Sanitary sewer ~ Outside C~ Floor drain ~ Other Prior to Inspection: When was systern 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: "4~ Yes ~ No DISCHARGE: t~ Near ~ Away C. YARD DRAINS L7 Yes ~ No WINDOW WELLS O Yes`~ No BEAVER 5YSTEM 17 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? Q Front ~ Back Q Side NOTES: ~ SUMP PUMP SYSTEM: ~ PASS ~ FAIL You have 30 days to bring your system into compliance with current regutations. When you are ready for reinspection, call~9 jor an appointment. Is there another place where clear water enters the sanitary sewer system? Q Yes ~ No Where is this location? This area will need to be fixed so the clear water discharges to the storm sewer system. Resident: Date: Date: Disclaimer: This visual inspection is done with due diiigence to find obvious ctear water cross-connections and does not impl_y the structure meets all City Codes. White: Homeowner Yellow: City ~~ A. BASEMENT ,~ Yes I~ No SUMP BASKET ~ 0 18~, 1~ 2 ~ 3 ~ WATER IN BASKET ,~ Yes 17 No SUMP PiJMF Q 0~ 1 ~ 2 ~ 3 Q WATER IN BASEMENT (flow over floor) ~ Yes ~ No CISTERN ~ Yes ~ No i~ r ~~4 (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 D Sanitary sewer ~ Outside at Inspection: Q Floor drain ~ Other Prior to Inspection: When was system installed, or most recently modified? (Date) ~'~.~~ and why Q Home came with system ~ Response to inspection program ~ Other ""~-~ ~ Water in basement ~Previous system failed B. ROOF LEADER5: ~ Yes ~ No DISCHARGE: ~ Near ~ Away C. YARD DRAIN5 ~ Yes ~ No WINDOW WELi.S ~ Yes I~" No BEAVER SYSTEM ~ Yes l~ No D. PROPERTIES WITH 5UMP PUMPS When does pump run? ~ Fall I~ Summer ,~ Spring ~ Winter (check all that apply) How often does pump run? V~here does pump discharge to outside? ~ Front 17 Back ~ Side _.~. 7 -~- -•-•---•-- NOTES: ~---•-•-•-•-~i ~~ ~~ ------c.-~ ~ -•-•C~~e~ ----- ~ ~ r,~ i~~ r~~ /( nl~c ~~ --~-•-' I~n ~,~.. ~ ~ +(~ ~~ u~r C/l~` ~' Q~T~ '~" t3-l,~ S,v~ 1~'~-f'~ v-''~ 5,~~~`~ 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[l 651 /644-1469 for an appointment. Is there another place where clear water enters the sanitary sewer system? Q Yes ~ No Where is this location? This area will need to be fixed so the clear water discharges to the storm sewer system. Inspector: ,. ~+~- e r' (~ (1, y ~-"3 ~ 7 Date: '~ / d Resident: < nE.{ ~y, fTs, ~~+ Date: Disclaimerc 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 Pink: HRG A. BASEMENT ~ Yes ~ No SUMP BASKET ~ 0 ~ 1 ~ 2 Q 3 O WATER IN BASKET ~ Yes ~ No SiTMP PUMP ~ 0~ 1 O 2 l'~ 3~ WATER IN BASEMENT (flow over floor) ~ Yes ~ No CI5TERN O Yes ,$1 No , ~a _s, . ~ ;;, 4~ ~,R jo~ ~~ ~~ ~ ~J U ~i Q~ , ~~ ~~ - City of Prior Lake Sump Pump and I/I Reduction Ins~ection Form r } Name: ~~ ~ ~ / ~ /~C'~~= ~- Date:'7~rc? " ~,~ ~ ~ , ;~~, ~ Time~~ ~~a. m. /p. m. ~ Q~ / "~b~~O~„ ~~ ~„~ First Inspe~ction l9' Second ~ ,,~n . Address: 7 ~~/ Own: L~'' Rent: ~ Age of Home:~~~ ` ,~~ ~9~~ Residential: L~3'~ Prior L~ake, MN 55 ~~i~ Phone:Y Non-Residential: D A. BASEMENT L~Yes ~,,AYo SLJMP BASKET ~ 0 l~1"~ 2~ 3 7 WATER IN BASKET ~'~es ~ No SiJMP~~~TMp/ ~ 0 ~~ 2~ ~ WATER IN BASEMENT (flow over floor) ~ Yes do CISTERN ~ Yes o (If no pump, place sticker across edge of sump eover;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 C9~'Outside at Inspection: Q Floor drain ~ Other B. C. Prior to Inspection: When was system installed, or most rec y modified? (Date) ~~ ~~ and why Q Home came with system Response to inspection program ~ Other ~ Water in basement ~ Previ system failed ROOF LEADER5: es ~ No DISCHARGE: ~ Near ~ 4~way D. PROPERTIES WITH SUMP PUMPS ~/ When does pump run? ~ Fall C9~Summer S ~ri~g ~ Winter (check all that apply) How often does pump run? ~7~c-~ ~i9/ rJ V~here does pump discharge to outside? ~ Front ~ Back ~ Side NOTES ~-~ ~ig.S C.,: G. ~~f~-•-•_..~~_~.~-~ 5-•-•.dr-~~------~,,,~--U 7 S~O L-"-•-•---•-•- / G( ( o SUMP PUMP SYSTEM: ~ PASS FAIL You have 30 days to brutg your system into comp[iance with current regu[ations. When you are ready for reinspection, cal[ 651/644-1469 for an pointment. Is there another place where clear water enters the sanitary sewer system? Q Yes Q'No Where is this location? This area will need to be ed s clear er arges to the storm sewer system. Inspector: ' ~'~'~' Date: ' ~ Resident: ~ .. , ,: ' ~71 ~. , Date: ~ __ Disclaimer: This visual inspection is done with due diligence to f"ind obvious clear water cross-connections and does not imply the structure meets all City Codes. YARD DRAINS ~ Yes I~~''N~/o WINDOW WELLS ~ Yes ~ BEAVER SYSTEM ~ Yes C9~No ' White: Homeowner Yellow: City Pink: HRG