HomeMy WebLinkAboutSump Pump Inspectionl~
B.
C.
D.
NOTES:
SUMP PUMP SYSTEM: `~ PASS ~ FAIL You have 30 days to bring your system into comp[iance with current '
f~~ regu[ations. When you are ready for reinspection, ca[[ ~~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: , ~ Date: °l '~ ~
Resident: ,r,~ n Date:
Disclaimer: This`4~isual inspection is done with due diligence to find obvious clear water cross-connections I
and does not imnlv the structure meets all Citv Codes.
White: Homeowner Yellow: City
(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 L7 Laundry tub ~ Sanitary sewer ~ Outside
at Inspection: ~ Floor drain ~ Other
Prior to Inspection:
When was system installed, or most recently modified? (Date)_ (,7 and why
~ Home came with system ,,~ Response to inspection program ~ Other
~ Water in basement ~ Previous system failed
ROOF LEADERS: ~ Yes ~ No DISCHARGE: ~ Near O Away
YARD DRAINS L7 Yes 1'~ No WINDOW WELLS ~ Yes ~ No
BEAVER SY5TEM ~ Yes 1~ No
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? ~ Front ~ Back Side
A. BASEMENT ~' Yes ~ No SiJMP BASKET O 0~ 1 D 2 ~ 3 ~
WATER IN BA KET ~ Yes Q No SUMP PUMP ~ 0 1 C7 2~ 3 ~
WATER IN BASEMENT (flow over floor) ~ Yes ~ No CI5TERN ~ Yes ~ No
~~. X `
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~
~ ~ ~,. ~ Q~- n7
(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) I 2 d fl ~ and why
~ Home came with system ~ Response to inspection program Q Other
~ Water in basement ~ Previous system failed
B. ROOF LEADERS: ~ Yes ~ No DISCHARGE: ~ Near l~ Away
C. YARD DRAINS ~ Yes ~ No WINDOW WELLS ~ Yes 1~ No
BEAVER SYSTEM ~ Yes ~ No
D. PROPERTIES WITH 5UMP PUMPS
When does pump run? ~ Fall ~ Summer O Spring ~ Winter
(check all that apply) How often does pump run? -~IE~El~ v~s
V~here does pump discharge to outside? Q Front ~ 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? O Yes l~ No
Where is this location?
This area will need to be fixed so the clear water discharges to the storm sewer system.
Inspector: Date: //~fa /~
Resident: ~uG ~ate: ~
Disclaimer: This visual inspection is done with due diligence to find obvious clear water cross-connections
and does not im 1 the structure meets all Cit Codes.
White: Homeowner Yellow: City Pink: HRG
.a
+~
A. ` BASEMENT ~ Yes ~ No SiJMP BASKET ~ 0~ 1 ~ 2 ~ 3 ~
WATER IN BASKET ~ Yes ~ No SUMP PUMP ~ 0 JS! 1~ 2 ~ 3 ~
WATER IN BASEMENT (flow over floor) ~ Yes ~ No CISTERN ~ Yes j~ No
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Inspection Form
Name: ~P4~ ~~ S, ~. p~ ~ Date: ~/~Time: 0 o d a.m./p.m.
First Inspection 0r"-Second ~
Address: ~~ ~~ i, P ~~ ~ r~" C/ S~ Own: L~'""Rent: ~ Age of Home:~~;,
Residential: ~"
Prior Lake, MN SS~a Phone: ~/~/~- ~„$`,~ Non-Residential: ~
V/~ ~,°~-
A. BASEMENT L~'Yes ~ No SUMP BASKET Q 0 ~~ 2 ~ 3 ~
WATER IN BASKET ~s ~ No SUMP PUMP ~ 0 O~I~ ~ 2 L7 3 Q
WATER IN BASEMENT (flow over floor) ~ Yes I~o CISTERN O Yes ~'b
(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 Paint L~ Laundry tub ~ Sanitaty sewer C~"'tsutside
at Inspection: ~ Floor drain ~ Other
Prior to Inspection:
When was system installed, or most recently modi~ed? (Date) and why
L~'"Home came with system ~ Response to inspection program ~ Other
Q Water in basement ~ Previous system failed
B. ROOF LEADERS: ~es ~ No DISCHARGE: ~ Near C~'~way
C. YARD DRAINS ~ Yes I~'No WINDOW WELLS ~~ Yes ~""
BEAVER SYSTEM ~ Yes l~'No
D. PROPERTIES WITH 5UMP PUMPS
When does pump run? G Fall ~ Summer ~ Spring Q Winter
(check all that apply) How often does pump run? /~/P~r~v ,~Zti ~S
V~here does pump discharge to outside? ~ Front ~ Back ~ A'Si3e`
NOTES:--•- - ~•-•-• -•-•-•-•-----•---•-•- - -•---•-•-•-•-•-•- -•-•-•-•-•---•-•- -•-•-•---•-•-•- ---•-•-•-•-•-•-•-----•-•
.
SUMP PUMP SYSTEM: ^ PASS [~"'FAIL You have-3A'tiays to bring your system into compliance with current
regulations. When you are ready for reinspection, ca11 651 /644-1 469 for an appointment.
Is there another place where clear water enters the sanitary sewer system? Q Yes ~"'R~o
Where is this location?
This area will need to be fixed so the clear water discharges to the storm sewer systern.
Inspector: Date: ~ /.~ -
Resident: ~ Date: -/,~ - ~ y
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 Pink: HRG
J _ .
Cit of Prior Lake
y
ump Pump and I/I Reduction