HomeMy WebLinkAboutSump Pump InspectionP
1 ~
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(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 ~ ,~~~ ~
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(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,
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City of Prior Lake
Sump Pump and I/I Reduction
Insnection Form
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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