HomeMy WebLinkAboutSump Pump Inspection~ ~~T~ ~3`~r~~~~'~ ~-
A. BASEMENT I~ Yes ,~.No SUMP BASKET ~ 0 ~ 1 ~ 2 ~ 3 O
WATER IN BASKET ~ Yes ~ No SUMP UMP ~ 0 ~ 1 ~ 2 ~ 3 ~
WATER IN BASEMENT (flow over floor) ~ Yes ~No CISTERN C] 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 ~I Laundry tub ~ Sanitary sewer ~ Outside
at Inspection: ~ Floor drain Q Other
Prior to Inspection:
When was system installed, or most recently modified? (Date) and why
l7 Home came with system ~ Response to inspection program ~ Other
~ Water in basement ~ Previous system failed
B. ROOF LEADERS: ~ Yes~ No DISCHARGE: 17 Near ~ Away
C. YARD DRAIN5 Q Yes ~ No WINDOW WELLS ~ Yes ~ No
BEAVER SYSTEM ~ Yes,~ No
D. PROPERTIES WITH SUMP PU1VII'S
When does pump run? ~ Fall ~ Summer l~ Spring ~ Winter
(check all that apply) How often does pump run?
V~here does ump discharge to outside? ~ Front O Back ~ Side
NOTES: -•-•_-- - - - - - - - - - ' ~O --•- - -• ~• - - - -•----5-----•---~ •-•~•- r+eS~
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 ~No
Where is this location?
This area w' ne to t~fixed so the c~ear gu~'e'~ discharges to the storm sewer system.
I Inspecto : " Date: ~ a~ C~ - y~ I
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 ail Cit Codes.
White: Aomeowner Yellow: City Pink: HRG
,~,.. , ~. ~~ ~F PRIp1P
~~ ~ ~
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:
City of Prior Lake
Sump Pump and I/I Reduction
Insuection Form
Name:~!v~~~~~~ ~~,~~~'f~ ~ Dat~i~'~~,~ Time%iV~.m./p.m.
~•-~yo ~ ~, ~y ~~ First Insp,~e ' n CCY Second ~ ~
Address: ~/ J~ ~~N ~~-''~ /ti ,G~ Own: ~' Rent: Age of Home~~
~y '/,/ Residential: ~ ~
Prior Lake, MN 55 ~!Z Phone:'Y'Y 7-'~7'y'~Non-Residential: ~
~ I ~ '
r~...--_ -
A. BASEMENT es ~ No~ SUMP BASKE ~ 1 ~ 2 O 3 ~
" WATER IN BASKET O Yes o SUMP P 0~ 1 ~ 2 ~~,,3-~O
¢ WATER IN BASEMENT (flow over floor) ~ Yes o CISTERN d Yes L'~'f o
_ (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 Q Sanitary sewer ~ Q 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
O Water in basement ~ Pre ' us system failed
B. ROOF LEADERS: es o DI5CHARGE: ~ Near way
~
C. YARD DRAINS ~~~1~~ ~ es I~ N WINDOW WELLS ~ Yes o
BEAVER SYSTEM ~ Yes o
D. PROPERTIES WITH SUMP PUMPS
When does pump run? ~ Fall ~ Summer ~ Spri~ ~ Winter
(check all that apply) How often does pump run?
V~here does pump discharge to outside? ~ Front a Back O Side
.-•-•-•-•-----•-•-•---•-----•---------•-- • --•-•-•-•-•-•-•-----•-•---•--------- ..~._-= _.-•-•-•-•-•-•---•-- •-•-•-•--
NOTES:
~'
SUMP PUMP SYSTEM: [D'~YASS ~ FAIL You have 30 days to bring your system into compliance with current
regulations. When you are ready fvr reinspection, cal[ 651 /644-1469 for an appo~ .
Is there another place where clear water enters the sanitary sewer system? l~ Yes o
Where is this location?
This area will need to i o the cleaywa~ discharges to the storm sewer system.
Inspector: ~'~~~"' Date: ti ~ ~ ' y'7
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.
White: Homeowner Yellow: City Pinl~: HRG