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HomeMy WebLinkAboutSump Pump InspectionP 1 ~ ~ (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: ~ 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 17 Water in basement ~ Previous system failed B. ROOF LEADERS: ~ Yes ~ No DISCHARGE: ~ Near Q Away C. YARD DRAIN5 Q Yes ~ No WINDOW WELLS ~ Yes ~ No BEAVER SYSTEM ~ Yes ~ No D. PROPERTIES WITH SUMP PUMPS When does pump run? ~ Fall ~ Summer ~ Spring Q Winter (check all that apply) How often does pump run? V~here does pump discharge to outside? L7 Front ~ Back ide NOTES: SUMP PUMP SYSTEM: ~ PASS a FAIL You have 30 days to bring your system into comp[iance with current regulations: When you are ready for reinspection, call ~$'for an appointment. Is there another place where clear water enters the sanitary sewer system? L7 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: 5 2S D Resident: ~G 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 ~ A. BASEMENT ~es O No SiJMP BASKET ~ 0 Cd 1~ 2 ~ 3 CI WATER IN BASKET ~ Yes ~No SUMP PiJMP Ca 0 I~l ~ 2 ~ 3 ~ WATER IN BASEMENT (flow over floor) ~ Yes ~No CI5TERN ~ Yes LL~'No µ ~ ,~~~ ~ ~,. «~ ~i lQ' ;:~ (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 la Laundry tub ~ Sanitary sewer Q Outside at Inspection: 17 Floor drain ~ 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 D Water in basement l~ Previous system failed B. ROOF LEADERS: ~ Yes Q No DISCHARGE: ~ Near O Away C. YARD DRAINS ~ Yes ~ No WINDOW WELLS Q Yes ~ No BEAVER SYSTEM ~ Yes ~ No D. PROPERTIES WITH SUMP PUMPS When does pump run? ~ Fall ~ Summer ~ Spring ~ Winter (check all that apply) How often does pump run? V~here does purnp discharge to outside? O Front Q Back O Side NOTES: ~---•-- ~~-~"~S ~fd S ~~./S 7A ,C~l.. .C-; .D J~.J~c:. t~J /'~- ~J C„-•-•-•-•_----•-----•---•-• ~~,c ~ c~u 7'S ~ o.~ . SUMP PUMP SYSTEM: S ~ FAIL You have 30 days to bring your system into compliance with current reguladons. When you are ready for reinspeetion, call 651/644-1469 for an ~ntment. Is there another place where clear water enters the sanitary sewer system? Q Yes No Where is this location? This area will need to efl-so the clear ~rater,,r~' charges to the storm sewer-system. > ~ I Inspector: 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 Pink: HRG A. BASEMENT ~ Yes ~ No SiJMP BASKET O 0 O 1 ~ 2 ~ 3 L7 WATER IN BASKET ~ Yes ~ No SiJMP PUMP ~ 0 ~ 1 ~ 2 ~ 3 ~ WATER IN BASEMENT (flow over floor) ~ Yes ~ No CISTERN ~ Yes a No ry, •~qY~ '~ I ~^ Iv ~ ~~ ~~ City of Prior Lake Sump Pump and I/I Reduction Insnection Form ~,~pJr Name: ~C!/,~ //~D.S'O.c.% i~~,/G'~i~~.L.~ Date;~j~~"~ Time~'~`~a.m./p.m. ~~j !1 ~7~,~,~~~ ~/~ ~,~ , ~' First Inspection ~nd ~ Address: / <o ~ (~ '~' Own: ~ Rent: ~ Age of Home:~ ~ ~ ,/ '/ Residential: ~ ~ Prior Lake, MN 55 ~~N Phone.~'~` ~~~~ /~ Non-Residential: ~ A. BASEMENT ~Yes ~' SUMP BASKET 0 Dif~' 2~ 3 ~ WATER IN BASKET es ~ No SiTMP PUM ~ 0 ~'~ ~ 2 ~ 3 ~ WATER IN BASEMENT (flow over floor) Q Yes o CISTERN ~ Yes Q, p F ';;w B. C. D. (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 anitary sewer ~ Outside af Inspection: ~ Floor drain Q Other Prior to Inspec 'on: When w stem installed, or most recently modified? (Date) and why ome came with system ~ Response to inspection program Q Other 17 Water in basement ~ Previo ystem failed ROOF LEADERS: eL~Y''Y s~ No DISCHARGE: ~ Near L'~wa ~ ~ Y YARD DRAINS ~I' ~~ti~~ es ~ No WINDOW WELL5 ~ Yes ~~o BEAVER SYSTEM ~~~ D Yes ~ No ,,~,~5 PROPERTIES WITH SUMP PUMPS When does pump run? ~ Fall ~ er Spring ~ Winter I (check all that apply) How often does pump run?~i~.//C?-MEL'7' /~~T~~ ~~ ~~.J V~here does pump discharge to outside? ~ Front I~ Back ~ Side NOTES:. ~~' ~~/S ~.v f,. ~'O~.iDi >io~T ~tr'~",A l~RDu.~.~0-~~ E--•~S- -•---•-•- ~~IC,2Bcc. i~. ~' - 17r~~4i~uAsc: ~~oM ~E'/~i N~0~2,$ C'a~Es ~~s cJAY - SUMP PUMP SYSTEM: Q PASS FAIL You ha ~~~days to bring your system into compliance with current regulations. When you are ready for reinspection, caU 651 /644-1469 jor an appo ent. Is there another place where clear water enters the sanitary sewer system? ~ Yes ftl-~Q"o Where is this location? This area will need to be ed e clear w er ' harges to the storm sewer system. Inspector: • Date: Resident: ~~. ~~~ ~'d ~„~.... 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 Pink: HRG