HomeMy WebLinkAboutSump Pump InspectionLN'
B.
C.
(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 6a' Outside
at Inspection: ~ Floor drain ~ Other
Prior to Inspection:
When was system installed, or most recently modified? (Date)_
la Home came with system ~Response to inspection program
~ Water in basement ~ Previous system failed
ROOF LEADERS:
YARD DRAINS
BEAVER 5YSTEM
and why
~ Other
~ Yes O No DISCHARGEc ~ Near ~ Away
Q Yes ~No WINDOW WELLS ~ Yes l~No
~ Yes L9'''No
D. PROPERTIES WITH SUMP PUMPS
When does pump run? I~ Fall ~ Summer L~ Spring ~ Winter
~~; (check all that apply) How often does pump run? U1", 0~'~ _
V~here does pump discharge to outside? ~ Front ~I Back ~ Side
NOTES:
SUMP PUMP SYSTEM: ~PASS O FAIL You have 30 days to bring your system into comp[iance with current
regulations. When you are ready for reinspection, caU~169for 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• ' ~ ~"" Date: (s? f~.} ~// v,~
Resident ~ ~ ! Date: ~
Disclaimer: is visual inspection is done with due diligence to find obvious clear water cross-connections
and does not impl_y the structure meets all City Codes.
White: Homeowner Yellow: City
A. BASEMENT [9'Yes ~ No SUMP BASKET 17 0 P~1 ~ 2 ~ 3 ~
WATER IN BASKET ~ Yes ~ No SUMP PUMP O 0 ~'' 1~ 2 ~ 3 O
WATER IN BASEMENT (flow over floor) ~ Yes ~ No CISTERN ~ Yes l'D~io
o~ PRj~~' City of Prior Lake
~ ~
~ ~ Sump Pump and I/I Reduction
~INNES°``~ Inspection Form
Name: ~ ~~"~ ! '// ~~ Date: _ Time: ~~~'~pm
Inspection: ^ First ~ Second
Address: ~~~~ ~~~'~~~g~
Prior Lake, MN 55372 Phone:
~, Own ^ Rent Age of Home:
~ Residential ~ Non-Residential
A. BASEMENT ~ Yes ^ No SUMP BASKET ^ 0~ 1 ^ 2 ^ 3 p
WATER IN BASKET ~;Yes ^ No SUMP PUMP ^0 ~1 ^ 2 ^ 3 p
WATER IN BASEMENT 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.)
Discharge Point p Larindry tub ^ Sanitary sewer ~Outside
at Inspection: ^ Flcior drain p Other
Prior to Inspection.
When was system installed, or most recently modified? (Date) _
^ Home came with system `^ Response to inspection program
^ Water in basement ''- ~Previous system failed
p Other
B. ROOF LEADERS '~ Yes ^ No DISCHARGE
and why?
~ Near p Away
C. YARD DRAINS O 1'es No WINDOW WELLS ^ Yes '~No
BEAVER SYSTEM ' p Yes No
D. PROPERTIES WITH SUMP PUMPS
When does pump run? O Fall ^ Summer ^ Spring ~ Winter
(check all that apply) How often does pump run?
Where does pump discharge to outside? ^ Front O Back ~ Side
NOTES:
SUMP PUMP SYSTEM: ~PASS O FAIL Yon hm~e 30 days /o hringyriuray.c~enr i~i/o con~plio~ice wilh cxrmn~
regrrlu~ion.r. Wi~er~ ynx are readY. jr~r re-i~~.~~ecrion, call 952/447-9833 fi~r rnr ap/x~inhaenl.
Is there another place where clear water enters the sanitary sewer system? ~ Yes ~ No
Where is this location?
This azea will need to be fixed so the clear water discharges to the storm sewer system
Inspector. Date:. ' l~ ~ ~ ~~
Resident: 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.
r~~~ eBpY ~ ~r•b ~ a~ d,~,,
a
0~
~
~
(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:
Prior to Inspection:
When was system installed, or most recently modified? (Date)
~Home came with system ~ Response to inspection program
O Water in basement ~ Previous system failed
~ Other
and why
B. ROOF LEADER5: ~ DISCHARGE: ~ Near O Away
C. YARD DRAINS C~`Yes d No WINDOW WELLS O Yes C~~
BEAVER SYSTEM ~ Yes l3"'No
D. PROPERTIES WITH 5UMP PUMPS ~~
'~
When does pump run? ~ Fall Spring
Cl" Summer L~ L7 Winter
(check all that apply) ~ -( -~,~~ /1 ~< ~ y
How often does pump run? ~'r.~ ;,~ ~
V~here does pump discharg e to outside? ,
~ Front ~ Back ~ Side
NOTES:
SUMP PUMP SYSTEM: ~ PA5S 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 E'J No
Where is this location? ~
This area will need to be fixed so the clear water discharges to the storm sewer system.
Inspector: % v ~ Date: ~/- „~ >~ 1 9
Resident: Date: ~ f- ~?- 9 y
,
Disctaimer: "~is visual"`uispection don with due diligence to find obvious clear water cross-connections
and does not imnlv the structure mee 1 Citv Codes.
White: Homeowner
~ Laundry tub ~ Sanitary sewer a Outside
L~loor drain ~ Other
Yellow: City
Yes C3'No
Pink: HRG
A. BASEMENT l~'es I~ No SiJMP BASKET ~ 0 L3~1 ~ 2 ~ 3 ~
WATER IN BASKET l~es ~ No SUMP PUMP ~ 0 13~1 ~ 2 ~ 3 ~
V~~TER IN BASEMENT (flow over floor) ~ Yes I~fo CISTERN ~ Yes ~IV"o