HomeMy WebLinkAboutSump Pump Inspection~ ~°~~~; ~~ ~
~~~
ection Form
A. BASEMENT ~ Yes ~ No SiJMP BASKET ~ 0 ~ 1 ~ 2 ~ 3 ~
WATER IN BASKET ~ Yes ~ No SUMP PUMP ~0 ~ 1 ~ 2 Q 3 I~
WATER IN BASEMENT (flow over floor) ~ 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 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
~ Water in basement I~ Previous system failed
B. ROOF LEADER5: ~ Yes ~ No DISCHARGE: 17 Near
~ O Away
C. YARD DRAINS ~ Yes~ No WINDOW WELLS Q Yes ~ No
BEAVER SYSTEM ~ Yes ~No
D. PROPERTIE5 WITH SiJMP PUMPS
When does pump run? Q Fall Q Summer O Spring ~ Winter
(check all that apply) How often does pump run?
V~here does ump discharge to outside? ~ Front ~ Back O Side
NOTES: ~ /J~.~/~ti~ r -- •c=-•- -
~ ~~ '-- ~..~2~l~~ - ---•-•-•-•-•-•-•-------•-•-
SUMP PUMP SYSTEM: ,r~PASS ~ FAIL You have 30 days to 6ring 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 where clear water enters the sanitary sewer system? ~ Yes .~f No
Where is this loc ' ?
This area w' need td e fixe~so the clear water di~schar~ o e storm sewer system.
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.
City of Prior Lake
Sump Pump~ and I/I Reduction
White: Homeowner Yellow: City Pink: HRG
d ~ ' ~ ~ ~7~' 1 ~~ ,~~,~ l ~~~'~'aC~ -`
,~`°~ ~ . .
City of Prior Lake
Sump Pump and I/I Reduction
Inspection Form
~
Name: ~~~~s ~" ~-/ ~~~~~'~ Date: 7' ~~~7 Time:~~'~.m./p.m.
~~ ~ ~
/ First Inspe~ion L~-'" Second ~
Address:~~~~ ~J ~~^~0~~ ~~ Own: ~ Rent: ~ Age of Home: 2~
2~y Residential: ~'" ~
Prior Lake, MN 55..:~' /.~ Phone ~~~ y~~ ~ Non-Residential: ~
~.(/(.~v ~ /v v ~/ r
A. BA5EMENT es d No~~/' 5iJMP BA5KET L~'0 :-~ 1~ 2 ~ 3 ~
WATER IN BA5KET I~ Yes Q'No SUMP ~P~ P ~~ 1 ~ 2~ ~~ /3 ~
WATER IN BASEMENT (flow over floor) Q Yes L~3-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 ~~ Outside
at Inspection: ~ Floor drain C] Other
B.
C.
D.
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
ROOF LEADERS: J T L9~Yes No DISCHARGE: Q Near ~--t~"way
L~
I~
YARD DRAINS ~~~o es ~` N~~o ~ WINDOW WELLS Q Yes ~
BEAVER SY5TEM ~` y ~a'/ ~ Yes ~ivo
PROPERTIES ~TH SUMP PUMPS
When does pump run? ~ Fall ~ Summer ~ Sprin 17 Winter
(check all that apply) How often does pump run?
V~here does pump discharge to outside? C] Front ~ Back ~ Side
-•-•-•-•-•-•-•-•-•-----•---•-•-•-•-•---------•-•-•---•---------•-•-•-•-•---•----:•ri---•-•-•-•---•-•-•-•-•-------•------
NOTES:
SUMP PUMP SYSTEM: I~PASS 17 FAIL You have 30 days to bring yaur system into comp[iance wuh current
regu[ations. 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 D•-I'~fi'o~
Where is this location~
This area will need t~ f so the cle w r ischarges to the storm sewer system.
Resident:
Date:
Date:
~'~7" ~.. iYS + 7 `~f
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.
S
White: Homeowner Yellow: City Pink: HRG