HomeMy WebLinkAboutSump Pump Inspection~ ..~ r~r
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B.
C.
D.
Discharge Point ~ Laundry tub ~ Sanitary sewer Q Outside
at Inspection: ~ Floor drain ~ Other
Prior to Inspection:
When was system installed, or most recently modified? (Date) and why
17 Home came with system O Response to inspection program ~ Other
Q Water in basement ~ Previous system failed
ROOF LEADERS: f~ Yes J~ No DISCHARGE: Q Near a Away
YARD DRAINS ~ Yes No WINDOW WELLS ~ Yes Q No
BEAVER SYSTEM d Yes No
NOTES:
' •- -
~-~ -=~- -exT ---~o ~ ~ Oro ~
SUMP PUMP SYSTEM: ~7 PASS ~ FAIL You have 30 days to bring your system into comp[iance with current
regulations. When you are ready far reinspection, call 651/644-14 9 for an appointment.
Is there another place where clear water enters the sanitary sewer system? ~ Yes No
Where is this location?
This area will n to be fix so the clear water discha s the storm sewer system.
Inspector: 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.
PROPERTIES WITH SUMP PUMPS
When does pump run? ~ Fa11 Q Summer a Spring Q Winter
(check all that apply) How often does pump run?
V~here does pump discharge to outside? ~ Front ~ Back O Side
White: Homeowner Yellow: City Pink: HRG
(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.)
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a~
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City of Prior Lake
Sump Pump and I/I Reduction
ection Form
Name: ~~~ ls-t, ~~ ~, .~ ~;>~ ~~~ ~~
Address: /~0 iS /I/u~-~~,,,~„~ fi~ /ui„/
Prior Lake, MN 55 ~~ Phone: ~ ~ -~~9~
Date: .~ -~ ~- 99 Time: I 33 ° a.m./p.m.
First Inspection L~ Second D
Own; ~'`Rent: ~ Age of Home: ~_;
Residential: l~
Non-Residential: ~
~~ ^ ~ (~l J ~n I ~ .
A. BASEMENT ~ s ~ No SiJMP BA5KET 0~ 1 O 2 d 3 ~
WATER IN BASKET ~ Yes Q No SiJMP PUMP ~~ 1 ~ 2 ~ 3 ~
WATER IN BASEMENT (flow over floor) ~ Yes I~o CISTERN ~ Yes I~~
(If no pump, place sticker across edge of sump cover and basement floor so any removal of cover will
break seal. Skip tp Part B of this form.)
Dischaxge Point ~ Laundry tub D 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
~ Water in basement ~ Previous system failed
p ~' ~/
B. ROOF LEADER5: I~/ ~ Yes ~ No DI5CHARGE: a' Near O Away
C. YARD DRAINS a Yes C~" No WINDOW WELLS ~ Yes C#~'No
BEAVER SYSTEM I~ Yes l~'1~io
D. PROPERTIES WITH SUMP PUMP5
When does pump run? ~ Fall ~ Summer 17 Spring ~ Winter
(check all that apply) How often does pump run?
V~here does pump discharge to outside? L7 Front ~ Back ~ Side
NOTES:
SUMP PUMP SYSTEM: PASS ~ FAIL You have 30 days to bring your system into co-npfiance 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 L Vo
Where is this location?
This area will need to be fixed so the clear water discharges to the storm sewer system.
Inspector: ~ ~ir~ Date: ,3 - 1 ~"~ J
Resident: ~~ ~~ ~~~ ~ ~ ~~
, ~ ~
~ ~ Date: ~ ~
~; ~ 1 ~ ~ y ~
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