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Home My WebLink AboutSump Pump Inspection-~,.~~/~~ ~.:~ ~ ~°~ ~ ~. ~~ ~:.~ ~^ _~ City of Prior Lake Sump Pump and I/I Reduction Insnection Form ~ !~~ Name: /', ~.- L-k..' W~~~r~,~'" ~ ~S.S's'~l .~.~~ ~.. ~_-- Address: ~ ~r ,~ ~~'," ~ N,1.7 Prior Lake, MN 55 Phone: .,, Date: -~'? -~ ~i Time: a.m./p.m. First Inspection C] Second ~ Own: O Rent: ~ Age of Home: Residential: ~ Non-Residential: D A. BASEMENT ~ Yes ~ No SIJMP BA5KET ~ 0 ~ 1 (~ 2~ 3 ~ WATER IN BASKET ~ Yes ~ No SiJMP PUMP Q 0 ~ 1 ~ 2 ~ 3 O WATER IN BASEMENT (flow over floor) 17 Yes ~ No CISTERN Q 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 ~ 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 I~ Home came with system Q Response to inspection program ~ Other ~ Water in basement C] Previous system failed B. ROOF LEADER5: Q Yes ~ No DISCHARGE: Q Near ~ Away C. YARD DRAINS a Yes ~ No WINDOW WELi.S O Yes ~ No BEAVER SYSTEM l7 Yes ~ No D. PROPERTIES WITH SUMP PUMPS When does pump run? ~ Fall ~ Summer (check all that apply) How often does pump run? V~here does pump discharge to outside? ~ Front NOTES: -•-! / tJ-•-• ~• ~~•----l~~~. -•~'----~ _.7, D Spring ~ Winter O Back ~ Side SUMP PUMP SYSTEM: ~C~'ASS ~ FAIL You have 30 days to bring your system into compliance with current ~ ~ regu[ations. When you are ready for reinspection, cal[ 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 ' ne. to be~ed so the clear water isc rges to the storm sewer system. WY.,.,..._ . 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 ~ 6Y}~ ~,~~~ ~~~'~~ ~ . ~. A. BASEMENT 17 Yes O No 5UMP BASKET ~ 0 ~ 1 O 2 ~ 3 ~ WATER IN BASKET ~ Yes ~ No SUMP PiJMP ~ 0 ~ 1 ~ ~ 3 O WATER IN BASEMENT (flow over floor) ~ 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 of this form.) Discharge Point ~ Laundry tub ~ Sanitary sewer I~ 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 Q Water in basement Q Previous system failed B. ROOF LEADERS: 0 Yes ~ No DISCHARGE: ~ Near ~ Away C. YARD DRAINS ~ Yes ~ No WINDOW WELLS ~ Yes ~ No BEAVER SYSTEM ~ Yes ~ No D. PROPERTIES WITH SUMP PUMP5 When does pump run? ~ Fall O Summer ~ Spring ~ Winter (check all that apply) How often does pump run? V~here do s pump discharge to outside? ~ Front ~ Back O Side NOTES: ~--- ~-7,=:=:-Q -•- - -- ~-- -•- Lrli' ------~ -- -•-•- - - - - • ~,~1.~--1 ~~- -- SUMP PUMP SYSTEM: ~ PASS ~ FAIL You have 30 days to bring your system into compliance with current regulauons. When you are ready for rein.spection, ca[[ 651/644-1469 for an appointment. Is there another place where clear water enters the sanitary sewer system? Q Yes '~J No Where is this location? ~~~ This area w'~'n~`~o be f~d so the clear water dis~f~ges to the storm sewer system. Inspector~~ (;. ~C.•~1" (~S~-~-.~~`~' _ Date: 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 Pink: HRG ~ ~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 at Inspection: L7 Laundry tub ~ Sanitary sewer l~ Outside ~ Floor drain C7 Other Prior to Inspection: When was system installed, or most recently modified? (Date) and why a Home came with system C7 Response to inspection program Q Other ~ Water in basement ~ Previous system failed B. ROOF LEADERS: ~ O No DISCHARGE: ~ Near ~y C. YARD DRAINS Q Yes I~'1'Cf'o WINDOW WELI.S ~ Yes a No BEAVER SYSTEM ~ Yes ~'~o D. PROPERTIES WITH SUMP PUMPS When does pump run? ~ Fall a Summer ~ Spring Q Winter (check all that apply) How often does pump run? V~here does pump discharge to outside? a Front d Back Q Side NOTES: SUMP PUMP SYSTEM: ASS ~ FAIL You have 30 days to bring your system into compliance with current regu[ations. When you are ready,t'or reinspection, ca11651 /644-1469 for an appointment. Is there another place where clear water enters the sanita.ry sewer system? ~ Yes 13-3~0 Where is this location? This area will ne ~be fixed so the clear water discharges to the storm sewer system. Inspector: Resident: 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. Date: '7- ~ ~ - Date: '7_ 2~ - White: Homeowner Yellow: City Pink: HRG A. BASEMENT ~~ No SUMP BASKET ~~ 1 a 2 ~ 3 ~ WATER IN BASKET ~ Yes l3'~1o SiJMP PiJMP ~ Q 1 Q 2 ~ 3 Q WATER IN BASEMENT (flow over floor) ~ Yes 13'fi~o CISTERN ~ Yes L~-~e- .?!'I~ ~~ ~ ~i ~~ (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 la Outside at Inspection: ~ Floor drain ~ Other Prior to Inspection: When was system installed, or most recently modified? (Date) and why ~ Home came with system I~ Response to inspecti on program ~ Other Q Water in basement Q Previous system fail ed B. ROOF LEADERS: Q Yes ~ No DISCHARGE: ~ Near ~ Away C. YARD DRAINS O Yes 17 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 appIy) How often does pump run? V~here does pump discharge to outside? O Front Q Back ~ Side NOTES: /~o C~Ty .S~k./P/' S L~-'~TT~r'" ---•-•-----------•-•-•-•---------------•---•---•-•-------•---•-•-----•- SUMP PUMP SYSTEM: ~ASS ^ FAIL You have 30 days to bring your system into compliance with current regulrttions. When you are ready for reinspection, cal[ 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 will need to be fixed so the clear water discharges to the storm sewer system. Inspector: Date: 2- /6- 9g 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 alI City Codes. White: Homeowner Ye11ow: City , Pink: HRG A. BASEMENT ~ Yes ~ No SUMP BASKET ~ 0 ~ 1 ~ 2 ~ 3 ~ WATER IN BASKET ~ Yes ~ No SiJMP PUMP ~ 0 ~ 1 ~ 2 ~ 3 ~ WATER IN BASEMENT (flow over floor) ~ Yes ~ No CISTERN ~ Yes ~ No