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 ~ Laundry tub ~ Sanitary sewer L~1'Outside
at Inspection: ~ Floor drain ~ Other
Prior to Inspection:
When was system installed, or most recently modified? (Date) ~ and why
~ Home came with system [B' Response to inspection program ~ Other
~ Water in basement ~ Previous s stem failed
B. ROOF LEADERS: Q Yes No DISCHARGE: ~ Near ~ Away
C. YARD DRAINS ~ Yes 6d~No WINDOW WELLS ~ Yes ~ No
BEAVER 5Y5TEM ~ Yes ~No
D. PROPERTIE5 WITH SUMP PUMPS
When does pump run? ~ Fall ~ Summer ~ Spring ~ Winter
(check all that apply) How often does pump run? ~~.~~ ,~r (
Where does pump discharge to outside? ~ Front Back 17 ide
NOTES:
SUMP PUMP SYSTEM: ~PAS5 ~ FAIL You have 30 days to bring your system into compliance with current
regulations. When you are ready for reinspection, call ~a9 for an pointment.
Is there another place where clear water enters the sanitary sewer system? ~ Yes No
Where is this location?
This area will need„tq be fixed so the clear water discharges to the storm sewer system.
Inspector: G~
Resident:
Date: '""'T
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 ~i~•i~-
A. BASEMENT I~Yes ~ No SUMP BASKET ~ 0 dr?'~1 ~ 2 ~ 3 ~
WATER IN BASKET ~ Yes ~ No SUMP PiJMP Q 0 ~1 ~ 2 ~ 3 ~
WATER IN BASEMENT (flow over floor) ~ Yes ~ No CISTERN O Yes ~'No
'J
l~
~~
~
(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 ~ Outside
at Inspection: ~ Floar 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: (7 Yes Q No DISCHARGE: ~ Near ~ Away
C. YARD DRAINS ~ Yes Q No WINDOW WELLS Q Yes ~ No
BEAVER SYSTEM ~ Yes ~ No
D. PROPERTIES WITH SUMP PUMPS
When does pump run? Q Fall ~ Summer ~ Spring ~ Winter
(check all that apply) How often does pump run?
V~here does ump discharge to outside? ~ Front ~ Back Q Side
~•v~~~~ ~~ ~ ~ Q ~-- ~~G . ~------t-~fy - ~_-- ~-
NOTES: -•-•-• - -~•-~----- ~ /~S~ ~ ~,.,, •-
~ O L( 7'S ~ O ~ .
SUMP PUMP SYSTEM: SS ~ FAIL You have 30 days to bring your system into compliance with current
regulations. When you are ready for reinspection, ca[! 651/644-1469 for an appointment.
Is there another place where clear water enters the sanitary sewer system? ~ Yes L~'~o~+
Where is this location? ""
This area will need t fix the clea ate ischarges to the storm sewer system.
Inspector: ~ Date: -,34- ,~'
Resident: Date: o -
Disclaimer: This visual inspection is done with due diligence to find obvious clear water cross-connections
and does not imnlv the structure meets all Citv Codes.
White: Homeowner
Yellow: City
Pink: HRG
A. BASEMENT ~ Yes ~ No SiJMP BASKET Q 0 ~ 1 a 2 ~ 3 ~
WATER IN BASKET 17 Yes ~ No 5UMP PUMP ~ 0 O 1 ~ 2 ~ 3 Q
WATER IN BASEMENT (flow over floor) ~ Yes ~ No CISTERN ~ Yes O No
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Insuection Form
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Name: ~J~ ODJ~ ~,t~ ~c.l~.~`.,~t/G •CC:.~
~ ~~U
Address:~~~c~~ ~,~.~/~t~~ ~~?,~C~,~ ~ ,[~
Prior Lake, MN 55 ~,..~ ~~~ Phone~~7~" ~'7`~
~' ~~~= ~;~ ~'~'oc~.
Da ~ Tim mJp.m.
First Inspes,t~ern C1~ Second ~ Q
Own: L'~ Rent: Age of Home: C:%'
Residential: ~ ~
Non-Residential: ~
A. BASEMENT I~es~ SiJMP BASKET O 0 ~~2 ~ 3 ~
WATER IN BASKET es ~ No SUMP~~~~ ~ 0 1 O 2 ~~C1
WATER IN BASEMENT (flow over floor) ~ Yes o CISTERN Q Yes ~1'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 ~ Sanitary sewer C~'Outside
at Inspection: ~ Floor drain ~ Other
Prior to Inspection:
When system installed, or most recently modified? (Date)
Home came with system ~ Response inspection program
L7 Water in basement Q Prev' s system failed
B. ROOF LEADERS:
C. YARD DRAINS
BEAVER 5Y5TEM
~ Other
and why
Yes ~ No DI5CHARGE: Q Near wa
O Yes~ N~~ WINDOW WELLS 19~Yes O No
I~ Yes I~No
D. PROPERTIES WITH SUMP PUMPS
When does pump run? L7 Fall O Summer Q Spring Q Winter
(check all that apply) How often does pump run? ~ C~2
V~here does pump discharge to outside? ~ Front ack °, O Side
~ ----~~}~S: ._ G E' . . ~. . ~ Si ---~ --------------------------------•-
NOTES: ~ !"~ ~ ~ ~ 7 ~
SUMP PUMP SYSTEM: ~ PASS L~~AIL You have 30 days to bring your system into compliance with current
regutations. When you are ready far reinspection, call 651 /644-1469 for an appo' .
Is there another place where clear water enters the sanitary sewer system? ~ Yes o
Where is this location?
This area will need to ix o the cl~ w~te~ discharges to the storm sewer system.
~,._
Inspector: 0 '~ ` ~--~" Date: ~,,.~ -.G ~ '
Resident: , Date: ~ .~S-
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
City of Prior Lake
Sump Pump and I/I Reduction
Yellow: City Pink: HRG