HomeMy WebLinkAboutSump Pump Inspectionk $:~ i~~
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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 t7 Sanitary sewer ~ Outside
~: at Inspection: I~ Floor drain O Other
~f
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 O Previous system failed
B. ROOF LEADERS: C7 Yes ~ No DI5CHARGE: ~ Near ~ Away
C. YARD DRAINS t7 Yes ~ No WINDOW WELL5 D Yes ~ No
BEAVER SYSTEM O Yes ~ No
D. PROPERTIES WITH SUMP PUMPS
When does pump run? 17 Fall ~ Summer ~ Spring Q Winter
(check all that apply) How often does pump run?
V~here does pump discharge to outside? i~ Front a Back ~ Side
NOTES:._.-• /v0 .r_~~v. .~'~~.-. F G.ArE2 ! f~A~/ i4~,or7,~r• ~iou~C •~c..i~~i~ or
Inspector: ~v Date: z.- /8- 99
Resident: ,' ` ~ ~ ~r ~' ,~,r # , _ ~, ~.- Date:
,~.-~ . o
SUMP PUMP SYSTEM: ~-,PASS ~ FAIL You have 30 days to bring your system into compliance with current
regulations. When you are ready for reinspection, caU 6511644-1469 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.
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 SUMP BASKET ~ 0 ~ 1 ~ 2 Q 3 ~
WATER IN BASKET ~ Yes a No SUMP PUMP O 0 Q 1 ~ 2 C1 3 Q
WATER IN BASEMENT (flow over floor) ~ Yes ~ No CI5TERN O Yes ~ No
~ t1'~~=;;
~ ~ ,r .
City of Prior Lake
Sump Pump and I/I Reduction
Inst~ection Form
Name: ~ ~~# ~'~-~ ,~ ~r"'P'~' Date: 2- ~~' - 9~ Time: f' ~o a.m.~
First Inspection l~~ Second ~
Address: ~6 Z~Q ~A'~'~ ~~e ~~ Own: Q'" Rent: ~ Age of Home:
Residential: L~'~
Prior Lake, MN 55 3~2 Phone: ~/y7 - z3~~ Non-Residential: ~
A. BASEMENT l~es ~ No SUMP BASKET L7 0 1~7 2~ 3 ~
WATER IN BASKET I~es d No SUMP P~ P ~~ 1 ~ 2 ~ 3 Q
WATER IN BASEMENT (flow over floor) ~ Yes L~ No CI5TERN ~ Yes ~io
(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:
B.
~ Laundry tub ~ Sanitary sewer Q Outside
~ Floar drain Q Other
Prior to Inspection:
When was system installed, or most recently modified? (Date)
I~ Home,came with system
17 Water in basement
and why
~ Response to inspection program Q Other
~ Previous system failed
~ Yes No DISCHARGE: L~ Near O Away
C. YARD DRAINS ~ Yes L~l,~~ WINDOW WELLS O Yes ~ No
BEAVER SYSTEM ~ Yes I'~"No
D. PROPERTIES WITH SUMP PUMPS
When does pump run? ~ Fall a Summer O Spring ~ Winter
(check all that apply) How often does pump run?
V~here does pump discharge to outside? ~ Front a Back ~ Side
NOTES:. . . /• O~ ~ ~ NO(JSC~S _•q N --~r~n~r' - fo ~--•-•-•-•--- - ---•-•-•---•-•---•-•-•-----•- ---•-•-•---
SUMP PUMP SYSTEM: ~AASS I~ FAIL You have 30 days to bring your system into comptiance with current
`, regulations. When you are ready for reinspection, call 651 /644-1469 for ppointment.
Is there another place where clear water enters the sanitary sewer system? Q Yes Q' 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 - / ~'- ~j
Resident: `~ ,~ ( .~-a ~.,~? 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.
ROOF LEADERS:
White: Homeowner Yellow: City Pink: HRG