HomeMy WebLinkAboutSump Pump Inspection{
A. BASEMENT ~ Yes~No SiJMP BASKET 0~ 1 ~ 2 O 3 ~
WATER IN BASKET Yes I~ No SUMP UMP 0~ 1 L7 2 C7 3~
WATER IN BASEMENT (flow over floor) ~ Yes ~1o 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 ~ Outside
at Inspection: Ca Floor drain ~ Other
Prior to Inspection:
When was system installed, or most recently modified? (Date) and why
D Home came with system O Response to inspection program ~ Other
~ Water in basement ~ Previous system failed
B. ROOF LEADER5: Cl Yes I~ No DISCHARGE: ~ Near t7 Away
C. YARD DRAINS a Yes ,~ No WINDOW WELLS C7 Yes Q No
BEAVER SYSTEM ~ Yes ~No
D. PROPERTIES WITH SUMP PUMPS
When does pump run? a Fall ~ Summer ~ Spring ~ Winter
(check all that apply) How often does pump run?
Where does pump discharge to outside? 17 Front ~ Back Q Side
NOTES: -•-•-~~.. _~.~ ~ t •t~~-~ (~'~"" [ •-----~. •-•-•-•--------- - -•-•-------•---•-•-•-•-•---•-•-
SUMP PUMP SYSTEM: ~PASS ~ FAIL You have 30 days to bring your system into compliance wuh 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? 17 Yes ~ No
Where is this location?
This area will,,~~ to J~e fixed so the clear wat~discharges to the storm sewer system.
Inspector ' Date: ~
Resident: Date:
Disclaimer: This visual inspection is done with due diligence to find obvious clear water cross-connecHons
and does not imply the structure meets all City Codes.
White: Homeowner Yellow: City Pink: HRG
~~~ ~ ~, . { -;;r~ ~ ~, ~ ~-- + '~..~0 9-"10 ! (oC~
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~ 5n ~~01(~(~~ _ ~: ._ ~~-~3
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A. BASEMENT ~'''Yes D No SUMP BA5KET [Td` 0~ 1 ~I 2~ 3 ~.
~VAT~R.I~~I;~A~~IiET t~ Xes C7;i~o : , $IJI~P PU~VIP _ ._ . ~I'.~, _C! -.1 ~ .~. , ~1. 3 , .~ .. ;:; . .:
. WATER IN BASEMENT (flow over floor) C? Yes ~No CTSTERN ~ Yes ~io
(If no pump, place sf'~ker across edge of sump cover and basement floor so any removal of cover will
, break seal. Skip to ~art B of this form.)
~ Discharge Point `~' ~'" Laundry tub I~ Sanitary sewer a Outside
at Inspection: ~ Floor drain ~ Other
Prior to Inspection:
When was system installed, or most recently modified? (Date) and why ~
t7 ~Iome came with system ~ Response to inspection program la Other
O Water in basement ~ Previous system failed
, B. ROOF LEADERS: ~ Yes C7 No DISCHARGE: ~ Near [7 Away
C. YARD DRAINS Q Yes ~ No WINDOW WEL~.S > Q Yes ~! No
BEAVER SYSTEM C7 Yes ~ No
D. PROPERTIES WITH SUMP PUMPS
When does pump run? d Fall ~ Summer Q Spring ~ W~,inter
,,(check alI that ' ly) Haw often does pump run? ;
~
~~ : ~
. ' ~ ~ere doe~ iseharg~ to .at~~side?- - : ~ Front -. , ~~~! .,6B~~~ _ ~~; Side
~NOTES~ ~j ~.~~ . e.~v ~ /.~---~ ~~ •~r•-~--~ r I ' ~ /t~ T ~~ ~ N~,~ l~.u Sk'pT' --•-•-•-•-----•-•-
~~~ .
~,
SUMP PUMP SYSTE1Vi`. ~ PASS ~ FAIL You have 30 days to bring your system into compliance with current
regulations. When you are ready for reinspection, ca[l 651/644-1469 for an appointment.
Is there another place vvhere elear water enters the sanitary sewer system? ~ Yes I~J' No
Where is this location?
This area wi11 need to be fixed so the clear wateX discharges ta the storn~ sevi~er 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
' ~?~ PRIn . ~~
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7I~'NESDi
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Mr. John Fitzgerald
14968 Pixie Point Circle
Prior Lake, MN 55372
Subj: SUMP PUMP INSPECTION FORM
Deur Jahr~:
!• ~ ~ -03
I received your message regarding the subject issue. I appreciate your cooperation with the
City's attempt to reduce waste water treatment costs and I have enclosed the form that you ean
have your plumber use. Just have him/her fill out and sign at the bottom in the Inspector's
location, and include his/her license number. You can return the yellow and pink copies to the
City via mail, or just drop it off.
Again, thanks for your cooperation. If you or your plumber have any questions please call me at
447-9831.
Sincerely,
Gre~/I~tlca P.E.
g ~
Director of Public Works/City Engineer
CITY OF PRIOR LAKE
1621~0~1~~Creek Ave. S.E., Prior Lake, Minnesota 55372-1714 / Ph. (612) 447-4230 / Fax (612) 447-4245
AN ~QUAL OPPORTUNITY EMPLOYER