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Home My WebLink AboutSump Pump Inspection_ ~~ ~~,~`° ..,.. . .~ B. C. D. NOTES: - :~ s ~~ a (~~ ~~h-, Name: ~ Date: Time:~ "~ • -~---r ~~/ First Inspection Q Second ~~~: t~-~ t~ Address: l F!~~~ !~ W~,~ • Own: ~ Rent: ~ Age of Home: b~j~ Residential: ~''" Prior Lake, MN SSs~~ Phone: ~3 ' ~5~~j Non-Residential: ~ ~F PRIp~ U`~ ~ City of Prior Lake 4-- Sump Pump and I/I Reduction Inspection Form A. BASEMENT ~Yes Q No SUMP BASKET ~ 0 ~" ~ 2 ~ 3 a WATER IN BASKET 17 Yes Q No SiTMP PUMP ~ 0 1~ 2 ~, 3~ WATER IN BASEMENT (flow over floor) ~ Yes ~No CISTERN ~ Yes ~'~to Discharge Point Q Laundry tub a Sanitary sewer l~ Outside at Inspection: Q Floor drain ~ Other Prior to Inspection: When was system installed, or most recently modified? (Date) and why ~ Home came with system Q Response to inspection program O Other (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.) a Water in basement Q Previous system failed ROOF LEADERS: ~ Yes a No DISCHARGE: i~Near 17 Away YARD DRAINS d Yes 'La~J ~N WINDOW WELI.S O Yes a No BEAVER SYSTEM ~ Yes L~"'No Inspector: Date: ~ a Resident: ~ ~~ ` -~ Date: ~ 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 d'ri41844r4MaW 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. Disclaimer: This visual inspection is done with due ditigence to find obviot~s clear water cross-connections and does not imply the structure meets all City Codes. White: Homeowner PROPERTIES WITH SUMP PUMPS When does pump run? ~ Fall ~ Summer ~ Spri g ~ Winte ~ (check all that apply} How often does pump run? ~_.,L_ V~here does pump discharge to outside? ~ Front 1 S i Back ~ Side Yellow: City L~ ~ (If no pump, place sticker across edge of sump cover and basement flaor so any removal of cover will break seal. Skip to Part B of this form.) Discharge Point d Laundry tub d Sanitary se~ver ~ Outside at Inspection: ~ Floor drain L7 Other Prior to Inspection: When was system installed, or most recently modified? (Date) ~ and why O Home came with system ~ Response to inspection program Q Other a Water in basement ~ Previous system failed B. ROOF LEADERS: ~ Yes ~ No DISCHARG~: ~ Near ~ Away C. YARD DRAINS a Yes No WINDOW VV~LLS ~ Yes ~„ No BEAVER SYSTEM ~ Yes~ No D. PROPERTIES WITH SUMP PUMPS When does pump run? "~V Fall t'~ Summer (check all that apply) How often does pump run? V~here does pump discharge to outside? ~ Front NOTES: ~ l~ Spxing O inter Back ~ Side SUMP PUMP SYSTEM: ~ PASS ~ FAIL You have 30 days to bring your system into compliance with current regulations. When you are ready fnr 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~xae~l so the clear water discharges to the storm sewer system. Resident: Date: 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. White: Homeowner Yellow: City .~'~ `'-y' A. BASEMENT ~ Yes ~ No 5UMP BASKET ~ 0 1~ 1~ 2 L"1 3~ WATER IN BASKET ~ Yes ~ No SUMP PUMP ~ D~ 1 ~ 2 ~ 3 ~ WATER IN BASEMENT (flow over floor) O Yes ~ No CISTERN I~ 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 of this farm.) Discharge Point at Inspection: ~ Laundry tub ~ Floor drain L7 Sanitary sewer L'~ Outside ~7 Other Prior to Inspection: When was system installed, or most recently modified? (Date)_ ~ Home came with system Q Water in basement B. ROOF LEADERS: ~ Response to inspection program ~ Other ~ Previous system failed and why ~ Yes ~ No DI5CHARGE: ~ Near ~ Away C. YARD DRAINS ~ Yes ~ No WINDOW WELLS O Yes ~ No BEAVER SYSTEM Ct Yes~' No D. PROPERTIES WITH 5UMP PUMPS When does pump run? Q Fall Q Summer ~ Sprin$„ Q Winter (check all that apply) How often does pump run? ;'~ ,,,,_ V~here does pump discharge to outside? Q Front ~ Back Q Side NOTES: -~,~,~~--•-•-- -~~--• "'"~'~ ~Z--E~b~- ~,,~,~ I~1--•-•-•---._._._.-•---• --~t"~IU'C"~-~' T~,1~I~~ • ~~-- ~~=--, ~ _ ~~"'. SUMP PUMP SYSTEM: ~ PASS ~FAIL You have 30 days to bring your system into compliance with current re lan . 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 tQ ~~ ~ix~d ~o the ~ar water discharges to the storm sewer system. Inspector: Date: %~ ~ I U ~ Resident: Date: Disclaimers This visual inspection is done with due diligence to find obvious clear water cross-connections and does not imolv the structure meets all Citv Codes. White: Homeowner Yellow: City Pink: ~ A. BASEMENT ~,es ~ No SiTMP BASKET C] 0 1~ 2 ~ 3 O WATER IN BASK~ET ~I'es D No 5UMP PUMP Ca 0 1~ 2 O 3 ~ WATER IN BASEMENT (flow over floor) Q Yes ~No CISTERN ~-',",~s ~No " a. • "~, ~, A. BASEMENT ~`Yes ~ No SiJMP BASKET ~ 0.~ 1~ 2 ~ 3 Q WATER IN BASKET ~'es a No SIIMP PUMP ~I 0~ 1 l7 2 Q 3 a WATER IN BASEMENT (flow over floor) O Yes ~No CISTERN ~ 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 of this form. ) Discharge Point Q Laundry tub a Sanitary sewer ~Outside at Inspection: ~ Floor drain Q Other Prior to Inspection: When was system installed, or most recently modified? (Date) ~~~~_ and why d Home came with system ~Response to inspection program ~ Other ~ Water in basement ~ Previous system failed ROOF LEADERS B ~ Y Q N DI5CHARGE: Q Near ~ Awa : . es o ~ C. YARD DRAINS ~ Yes o WINDOW WELLS Q Yes No BEAVER SYSTEM ~ Yes~ No D. PROPERTIES WITH 5UMP PUMPS When does pump run? ~ Fall ~ Summer ~Spring d Winter (check all that apply) How often does pump run? Where does pump discharge to outside? ~ 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, ca11651 /644-1469 for appointment. Is there another place where clear water enters the sanitary sewer system? ~ Yes i"C` "~ Where is this location? This area will need~~e f~d so~the c ar water discharges to the storm sewer system. _~ ~~ I Inspector: ~ Date: 1 ~- "~' ~ f'"1 I Resident: ~.,,,~.- c , ~,,,,,~,,.a~ ~,t Date: ~ ~ ~ ~- - ~! ~ I Discla~mer: This visual inspection is done with due diligence to find obvious clear water cross-connections and does not impl_y the strncture meets all City Codes. White: Homeowner ~ Yellow: City Pink; HRG iYl ~.T '..~„ :1 ~ a ~~,~ ~1 ~ /` /I~1~ F !f ~_. r~,~~ City of Prior Lake Sump Pump and I/I Reduction Inspection Form ~~~r~ 1 ~' ~ ~ ~ ~~ ~ ~ Name: /~ti ~-'~~ ~ ~it~ ~ /~~~-~- Date: ~' ~•~- ~ Time~~~a.m./p.m. ~~ _~--- -7''~ First In~sp~e,c,~n[~' Second Q Address:~~~G~,~! ~J.C.~~t//O ~~~L ~~.U Own: ~ Rent: ~ e of Home: ~ ~t b ~ ~/ r° Residential: ~ Prior Lake, MN 55 ~~.~ Phone'Y`~C-,7~.~,~ Non-Residential: ~ A. BASEMENT ~s O 1~' SUMP BASKET Q 0 ~~,.~'J' 2 O 3 ~ WATER IN BASKET ~1'1' es ~ No SiJMP PUM Q 0 I~l Q 2~~~~ ~ /3 '~ WATER IN BASEMENT (flow over floor) ~ Yes o CISTERN l~ 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 O Sanitary sewer utside at -I.~spect~fln;, •: ~: - ~ - ~ Floor drain ~ Other Prior to Inspection: When w' stem installed, or most r~cently modified? (Date) '"" and why ome came with system Q Response to inspection program ~ Other ~ Water in basement O Previous sys failed B. ROOF LEADERS: ~ Yes 1~ No DISCHARGE: L7 Near C7 Awa Y G YARD DRAINS ~ Yes ~'N WINDOW WELLS ~ Yes ~o BEAVER SYSTEM ~ Yes t~'No/ D. PROPERTIES WITH SUMP PUMPS ~~~ p J~-1 When doespump run? ~ Fall ~ Summer pring ~ Winter ~- J. / (check all that apply) How often does pump run? s~! o M~L~' - IR ~~~~ ~A ~°" V~Fhere does pump discharge to outside? ~ Front c O Side f-~~ S'~`~ O OU. 7~S'l~D ~- -----•-•-•---•-•-•---•--- -- NOTES: ~ES ~~S X ~ ~ SUMP PUMP SYSTEM: ~ PASS L~F"t'AlL You have 30 days to bring yo~r~~.cFem-uuace~r+~ieance current regu[ations. When you are ready for reinspection,'r~al[ 651 /644-1469 for pointm t. '~~._. Is there another place where clear water enters the sanitary sewer system? ~ Yes Where is this location? This area will need to be~d~e clear w~ter di~c~~i' rges to the storm sewer system. Inspector: ,/GC~ ~ ~ ~'"""~.-..-.J Date: _ ~ =~ - Resident: _, ' ~. 1.... Date: ~.,3~,.Z - 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