HomeMy WebLinkAboutSump Pump Inspection~
~Y
(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 I~ Laundry tub ~ Sanitary sewer ~ Outside
at Inspection: ~ Floor drain O Other
Prior to Inspection:
When was system installed, or most recently modified? (Date) ~ ~ and why
~ Home came with system Response to inspection program ~ Other
O Water in basement Previous system failed
B. ROOF LEADERS: ~ Yes ~ No DISCHARGE: {,~ Near ~ Away
C. YARD DRAINS ~ Yes ~ No WINDOW WELLS O Yes ~ No
BEAVER SYSTEM ~ Yes No
D. PROPERTIE5 WITH SUMP PUMP5
When does pump run? ~ Fall ~ Summer ~ S ring ~ Winter
(check all that apply) How often does pump run? ~'
V~here does pump discharge to outside? ~ Front ~ Back Side
NOTES:
SUMP PUNTP SYSTEM: 1~ PASS ~ FAIL You have 30 days to bring your system into compliance with current
~ regu[ations. When you are ready for reinspection, call 651 /644-1469 for an appointment.
~.,
~~ Is there another ~ where clear water enters the sanitary sewer system? ~ Yes ~ No
Where is this locati ?
This area will need be fixed so the clear water discharges to the storm sewer system.
Inspector: Date:
Resident: ~ nn,~ a~'1 Date: 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.
White;,''Homeowner Yellow: City ~~~
A. BASEMENT ~ Yes ~ No 5UMP BA5KET ~ 0~ 1 ~ 2 ~ 3 ~
WATER IN BASKET ~ Yes ~ No 5UMP PUMP O 0 j9'' 1~ 2 ~ 3 a
WATER IN BASEMENT (flow over floor) ~ Yes ~ No CISTERN CI Yes ~ No
`~1. ,. ~i,.; .,.,'~
City of Prior Lake
Sump Pump and I/I Reduction
Ins~ection Form
t
,
Name: ~cti a~G ~~ ~u ct~ 6t ~ r~ ~ `` ~ ~' !-'~ Date: ~ Z~"~~'~~1 Time: ~ ~ a.m Ip.m.
/ Jt~~/ First Inspection ~ Second ~'
Address: ~ Sb ~~ ~~~ih ~G~~~± ~-~ N Vv Own:~ Rent: ~ Age of Home:~
~~ Residential: .~'~
Prior Lake, MN 55_~~ !// Phone: ~~~~"~~w~ Non-Residential: Q
A. BASEMENT l~'es ~ No SIJMP BASKET ~ 0-~ 1 Q 2 ~ 3 L7
WATER IN BASKET ~~I'es D No SiJMP PUMP O 0~ 1 C~ ~ 3 ~
WATER IN BASEMENT (flow over floor) ~ Yes ~Fo CISTERN O 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 ~ Other
B.
~`'
C. YARD DRAINS Q Yes No WINDOW WELLS ~ Yes~! No
BEAVER SYSTEM ~ Yes No ~
D. PROPERTIES WITH SUMP PUMPS
When does pump run? ~ Fall ~ Summer ~Spring ~ Winter
(check all that apply) How often does pump run?
V~here does pump discharge to outside? ~ Front ~ Back Side
° NOTES:
SUMP PUMP SYSTEM: ~ PASS ~ FAIL You have 30 days ta bring your system into compliance wuh rrent
regu[ations. When you are ready for reinspection, call 651/644-1469 for an ap'` ' ent.
Is there another place where clear water enters the sanitary sewer system? ~ Yes ,~1 No '
Where is this location? ~
This area will need to so e dlear ter discharges to the storm sewer system.
Inspector: Date: ~
Resident: l~'Y, ~~~ Date: Q--- _
Disclaimer: This visual inspeetion is done with due diligence to find obvious clear water cross-connections
and does not imply the structure meets all City Codes.
Prior to Inspection: ~~
When was system installed, or most recently modified? (Date) ~ 1 and why
~ Home came with system ~ Response to inspection program ~ Other
~ Water in basement ~ Previous system failed
ROOF LEADERS: ~Yes ~ No DISCHARGE: ~ Near I~Away
White: Homeowner Yellow; City Pink: HRG .a
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~~
~1
City of Prior Lake
Sump Pump and I/I Reduction
Insnection Form
~
~ - :~~~
Name:~ ,~~~~~~ i~iqti~lOFd,C.~., Date~~ l Time,~,,~.~~a.m./p.m.
`~Q / /~~~~ ~~ ~G J First Inspe ' ~ ~econd ~ ~D
Address: !!~ ~J Own: Rent: Age of Home: ~
~ ,t~ >~ ~/~/ Residential:
Prior Lake, MN 55 ,,? ~it-~ Phone':Y`~~ ~"y~ l Non-Residential: ~
~,,.viv~.,~;;, ~,. ~
A. BASEMENT es ~ No_ ~ SiJMP BASKET ~ 0 ~1 2~ 3 ~
WATER IN BASKET ~ Yes Ca1Qo SiJMP~ P~ Q 0 t~'1 Q 2~ O~ ~3 ~
WATER IN BASEMENT (flow over floor) ~ Yes L~To CI5TERN ~ Yes ~GYNo
{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 undry tub ~ Sanitary sewer ~ Outside.
at Inspection: ~ Floor drain ~ Other
Prior to Inspection:
When system installed, or most recently modified? (Date) and why
tI~ came with s stem d Res onse to ins ection ro ram ~ Other
Y P P P g
~ Water in basement ~ Previous syst ailed
RS: ~ Yes L~~'~ DISCHARGE: Q Near a Awa
B. ROOF LEADE y
C. YARD DRAINS ~ Yes L~J~' ~N''~~ WINDOW WELLS ~ Yes B'No
BEAVER SYSTEM ~ Yes I~No
D. PROPERTIES WITH SUMP PUMPS
When does pump run? ~ Fall O Summer ~ 5prin ~ Winter
(check all that apply) How often does pump run? il'/,~~/,C ~
V~here does pump discharge to outside? ~ Front ~ Back C~ Side
- •-• - f'=----•-•-• ~.~.~
NOTES: ~~S ~A~ ~'"L~~ /~OS~ / v ~ f3Lc N fY~?
- ~ -~~-,- ~ ---•-•- -------•-•-
5UMP PUMP SYSTEM: ~ PASS L~AIL 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 where clear water enters the sanitary sewer system? ~ Yes ID--~"o
Where is this location?
This area will need to be e~ the clea~riwa~ischarges to the storm sewer system.
Inspector:
Resident:
Date: ._..~ ~2`~
Date: _~
I Disclaimer: This~ual inspection is done with due diligence to find obvious clear water cross-connections I
and does not imply the structure meets all Cit_y Codes..
White: Homeowner Yellow: City Pink: HRG