The URL can be used to link to this page

Home My WebLink AboutSump 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 Q 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 ~Response to inspection program ~ Other Q Water in basement ~ Previous system failed B. ROOF LEADERS: C7 Yes O No DISCHARGE: ~ Near ~ Away C. YARD DRAINS Q Yes ~No WINDOW WELLS O Yes ~ No BEAVER 5YSTEM ~] Yes ~No NOTES: D. PROPERTIE5 WITH SUMP PUMPS When does pump run? ~ Fall ~ Summer Q Spring ~ Winter (check all that apply) How often does pump run? V~here does pump discharge to outside? ~ Front Back ~ Side SUMP PUMP SYSTEM: PASS ~ FAIL You have 30 days to bring your system into compliance with cunent regulations. When you are ready for reinspection, ca[[~y~t~~i4~~'or an pointment. Is there another place where clear water enters the sanitary sewer system? ~ Yes No Where is this Iocation? This area will need to be fixed so the clear water discharges to the storm sewer system. Inspector: Date: ~ ''( 0~ Resident: ~-~''"~"~~. .~ r ~ ~ ~ ~~:~~ ~..~~- ~; r_ ~~. ~ Date: - ~ ~~ - ,,~ ~ ~ Disclaimer: This visuai 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 °'°~.~ T'~~ - A. BASEMENT l~'I~es d No SUMP BASKET ~ 0 ~~,,~~ 2 Q 3 la WATER IN BASKET ~ Yes ~ No SUMP PUMP ~ 0 [D' 1~ 2 O 3 ~ WATER IN BASEMENT (flow over floor) a Yes ~ No CISTERN ~ Yes I~o ,~.-~ . . ~-~~~ a~ PRIO~, .. ; , .. a,,. - ~~ ~ City of Prior ~Lake Sump Pump and I/I Reduction Inst~ection Form i Name: ~, ~~= ~ ~ ~'~.~ Address: / ~y~l~ ~ -`s"~~ ~~/~ ~~. ~ ~ V~here does pump discharge to outside? ~ Front ~Q,~Back ~ Side / ~ NOTES: SUMP PUMP SYSTEM: ~'PASS O FAIL You have 30 days to bring your system into compli~ce with current regulations. When you are ready for reinsprction, cal! 651/644-1469 for an appointmenl. Is there another place where clear water enters the sanitary sewer system? ~ Yes ~No ~ere is this location? This area will neecY~Q~be~ so ~1ie ¢lea ater discharges to the storm sewer system. Prior Lake, MN 55 2~ Phone: ~ 7-'7~?D Date: ~~ ""~ ~`~ Time: ~~ a.m .m. First Inspection ~ Second ~ ~ Own:.~ Rent: ~ Age of H me: Residential:~ Non-Residential: 7 A. BASEMENT ~ Yes ~ No SUMP BASKET ~ 0~_ 1~ 2 ~ 3 ~ WATER IN BASKET.~1 Yes Q No SLJMP PUMP d 0 I~ 2 3~ WATER IN BASEMENT (flow over floor) ~ 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 ~ Laundry tub D Sanitary sewer ~Outside at Inspection: ~ Floor drain ~ Other Prior to Inspection: ~ (~Q~ When was system installed, or most recently modified? (Date) \ \ 1 and why ~ Home came with system ~ Response to inspection program ~ Other Q Water in basement d Previous system failed B. ROOF LEADERS: ~ Yes ~ No DISCHARGE: Q Near ~ Away C. YARD DRAINS O Yes~ No WINDOW WELLS ~I Yes ~ No BEAVER SYSTEM ~ Yes ~No D. PROPERTIES WITH 5UMP PUMPS When does pump run? ~ Fa11 ~ Summer ~ Spring ~I Winter (check all that apply) How often does pump run? Inspector: `f Resident: r ~: . ~ `'. Date: ~ G ', Date: ~ ; -~ Disclaimer: This visual inspection is done with due diligence to find obvious clear water cross-connecti4ns and does not imnlv the structure meets all Citv Codes. White: Homeowner Yellow: City Pink: HRG- „~'A.'i ~ ,..;~i+ i ` ~O o° ~~ ~~ ~ ~ . . ... . ~ U..::.- City of Prior Lake Sump Pump and I/I Reduction Ins~ection Form Name: ~-~o~r,; ~ /~,"~~, RP I Date: ~~~~- 9~ Time: /fi~" a.m./p.m. First Inspection L~ Second ~ Address: /> .~ `1 ~~ ~('~ ~ ~ ~1 ~ D ~ ~ Own: C~ Rent: ~ Age of Home:~_ Residential: I~ Prior Lake, MN 55 ; 7~ Phone: Non-Residential: ~ (~,,, ,..~., . ~, A. BA5EMENT I~i'es ~ No ~ SIJMP BASKET ~ 0 ~~~~ 2 ~ 3 ~ WATER IN BASKET I~ Yes L~'No SUMP PUMP ~ 0 t3 1~ 2 ~ 3 Q WATER IN BASEMENT (flow over floor) ~ Yes I~'l~io CI5TERN ~ Yes A'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 L~'Laundry tub ~ Sanitary sewer ~ Outside at Inspection: ~ Floor drain ~ Other Prior to Inspection: When was system installed, or most recently modi~ed? (Date) and why 13' Home came with system ~ Response to inspection program ~ Other Q Water in basement I~ Previous system failed B. ROOF LEADERS: L~' Yes ~ No DISCHARGE: ~ Near t~Away C. YARD DRAINS ~ Yes C3 No WINDOW WELLS ~ Yes L~No BEAVER SY5TEM ~ Yes C~1Gro D. PROPERTIES WITH SUMP PUMPS When does pump run? ~ Fall C] Summer Q Spring ~ Winter (check all that apply) How often does pump run? UN ~y, ~~~ ~. V~here does pump discharge to outside? ~ Front ~ Back ~ Side NOTES: ~---- ~liX ~ ~ I<-----! r~~ •-•-~-~------• ~ ~~ ~ ~ ~ ~ ~~-~-------------•-------•-•-------•-•-•-•-•---•-•-•--- ff Inspector: ~'"~ Date: ~/- ~~ - '~ ~/ Resident: ~' Date: G/- .2~ ~ 9 y 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 ~io 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 diligence to find obvious clear water cross-connections and does not imply the structure meets all City Codes. White: Homeowner Yellow: City Pink: HRG