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HomeMy WebLinkAboutSump Pump Inspection.~ . (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: I~ 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 B. ROOF LEADERS: ~ Yes ~ No DISCHARGE: ~ Near ~ Away C. YARD DRAINS ~ Yes No WINDOW WELLS ~ Yes~ No BEAVER SYSTEM ~ Yes~ No D. PROPERTIES WITH SUMP PUMPS When does pump run? ~ Fall I~ Summer ~ Sprin D Winter (check all that apply) How often does pump run? V~here does pump discharge to outside? ~ Front Q Back ~ Side NOTES: SUMP PUMP SYSTEM: ~ PASS I~ FAIL You have 30 days to bring your system into compliance with catrrent 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 ~No Where is this location? This area will~eed to L}~ fixed so the clear water discharges to the 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. White: Homeowner Yellow: City ~~ G ,. A. BASEMENT ~ Yes ~ No SUMP BASKET ~ 0 1~ 2 ~ 3 17 WATER IN BASKET ~ Yes 1~No SUMP PUMP ~ 0~ 1 ~ 2 O 3 ~ WATER IN BASEMENT (flow over floor) ~ Yes ~No CISTERN ~ Yes `~ No :... r , , . . ~,. ~ P B. C. D. r.J~~ ~,r5~~ •~+u~;'~'"'~d~~ , J 1~.Gh}i,'~"ti~M~ ~: ;, ~ (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 ~ 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 ROOF LEADERS: ~ Yes ~ No YARD DRAINS a Yes ~ No BEAVER SYSTEM a Yes ~ No DISCHARGE: ~ Near ~ Away WINDOW WELLS I~ Yes ~ No PROPERTIES WITH SUMP PUMPS When does pump run? ~ Fall ~ Summer ~ Spring (check all that apply) How often does pump run? Where does pump discharge to outside? O Front D Back ~ Side NOTES: SUMP PUMP SYSTEM: l~, PASS O FAIL You have 30 days to bring your system into compliance 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 ~ No Where is this location? This area will need to be fixed so the clear water discharges to the storm sewer system. Inspector: Date: G- Z- 4~ 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. ~ Winter White: Homeowner Yellow: City Pink: HRG : A. BASEMENT ~ Yes ~ No SUMP BASKET ~ 0~ 1 ~ 2 ~ 3 ~ WATER IN BASKET ~ Yes ~ No SiJMP PiJMP ~ 0~ 1 ~ 2 ~ 3 ~ WATER IN BASEMENT (flow over floor) ~ Yes ~ No CISTERN ~ Yes ~ No '""~` x: M•; City of Prior Lake Sump Pump and I/I Reduction Inst~ection Form /~ (~ ~~T /~~n Name : ~/ ~~ ~ `~'~~.~. ~ .~, ~~,•~%-' `7 D ~ °~r ~ ~ ~ Time/~~`-~ `-~. m. /p. m. ~ ~ ,/~ First Insp~ec.~'~ ~'" Second O Address: ~~ ~~ /. 7' ~~'~ ~ ~`'~ ~ Own: (~` Rent: ~ Age of Home: ,/ Residential: t~-''r Prior Lake, MN 55~ 7~ PhonefOl~ uy~ Non-Residential: ~ / ~,_._ / ~ . A. ~BASEMENT ~es ~ N~'`~ SiJMP BA5KET ~ 0 L~~/1 ~~ 2~ 3 ~ WATER IN BASKET ~l:~s ~ No SiJMP PLJM ~ 0 @''1 ~ 2~ ~~' ~ WATER IN BASEMENT (flow over floor) ~ Yes ~CISTERN ~ Yes e7-IQo (If no pump, place sticker across edge of s cover and basement floor so any removal of cover will break seal. Skip to Part B of this form. Discharge Point aundry tub ~ Sanitary sewer ~ Outside at Inspection: ~ Floor drain a Other Prior to Ins tion: When w system installed, or most recently modified? (Date) and why ome came with system ~ Response to inspe ' program ~ Other ~ Water in basement ~ Previous sys failed B. ROOF LEADERS: ~ Yes No DI5CHARGE: ~ Near Q Away C. YARD DRAINS ~ Yes ~ WINDOW WELLS O Yes o BEAVER SYSTEM ~ Yes ~ D. PROPERTIES WITH 5UMP PUMPS When does pump run? ~ Fall mmer r Winter (check all that apply) How often does pump run? ~~~ ~,~ ~l/ ,~ /~~ r Where does pyx~p discharge to outside? ~ Front d Back ~ Side NOTES: . .~~~,~ . ~1,~~~. . ~iU ~ a _'---~--------------------- L.~ u~~oe ~i ~u SUMP PUMP SYSTEM: ~ PASS ~ ~IL 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? Q Yes ~-~ ~ Where is this location? This area will need to b ix so the clear w~d~harges to the storm sewer system. Inspector:.,,'_~ 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 .