HomeMy WebLinkAboutSump Pump Inpsectiont"/ ~ r-, p~ .,~ r, ', ~l•~ ~"1 ~y
i.~1 ~.. ... r ` ,.. a~ C.....
(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.)
Discharg~ Point ~ Laundry tub ~ Sanitary sewer Ca Outside
at,Inspection: Q Floor drain Q Other
Prior to Inspection:
When was system installed, or most recently modified? (Date) and why
O Home came with system L7 Response to inspection program ~ Other
O Water in basement ~ Previous system failed
B. ROOF LEADER5: ~ Yes i7 No DISCHARGE: 17 Near ~ Away
C. YARD DRAINS O Yes ~ No WINDOW WELLS O 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?
Where does pump discharge to outside? O Front Q Back Q Side
NOTES~ SS~' .s
~ ~ i D ~ ~~_~.~- tl,~,~- .y/ ,~. ~4 ~~-~ ~. o ~--
SUIVIP PUMP SYSTEM: ~ PASS ~ FAIL You have 30 days to bring your system into comp[iance with current
regulatioru. When you are ready for reirupeclion, call 651/644-1469 for an appointment.
Is there another place where clear water enters the sanitary sewer system? Q Yes ~ No
Where is this location?
This area will r,yee."d"'~p be f~ed so the clear wat~x-c~jscharges to the storm sewer system.
I Inspector ' " Date: ~-~' ~}S.-~~ I
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.
White: Homeowner Yellow: City Pink: HRG
A. BASEMENT Q Yes ~ No SIJMP BASKET ~ 0 ~ 1 ~ 2 D 3 17
WATER IN BASKET Q Yes ~ No SiJMP PUMP ~ 0 O 1 ~ 2 ~ 3 C]
WATER IN BASEMENT (flow over floor) ~ Yes Q No CISTERN Q Yes ~ No
~'' ~~~4`a~ aF PRIp~~
2y U~ ~
~
Name: ~U s
City of Prior Lake
Sump Pump and I/I Reduction
Inst~ection Form
~~~ ~~~~~
Date: 2- i9-~9 Time:~a.m p.m.
~ 1 First Insp~on Q~ Second I~
Address: I ~{ -s ~'~ 3 ~~' ~' K`~ Own: I~~ Rent: Age of Home:_
Residential: ~
Prior Lake, MN 55 ; 77 Phone: Non-Residential: ~
A. BASEMENT Yes ~ No__ / SUMP BASKET ~~ ~0 1~ 2 ~ 3 a
WATER IN BASKET 17 Yes @~Qo SUNiP PUM L~'0 Q 1 O 2 ~ 3 ~
WATER IN BASEMENT (flow over floor) ~ Yes ~ CISTERN ~ Yes l'~iK'o
(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: O Floor drain ~ Other
Prior to Inspection:
When was system installed, or most recently modified? (Date) and why
O Home came with system ~ Response to inspection program ~ Other
O Water in basement ~ Previous system failed
B. ROOF LEADERS: Q Yes ~No DISCHARGE: ~ Near C~ Away
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? O Front ~ Back ~ Side
NOTES:
SUMP PUMP SYSTEM: J~' N" SS ~ FAIL You have 30 days to bring your system into compliance with current
regulations. When you are ready for reinspection, ca[[ 651/644-1469 for an ointment.
Is there another place where clear water enters the sanitary sewer system? ~ Yes ~~
Where is this location?
This area will need to b d so the clear water 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-connections
and does not imply the structure meets all City Codes.
White: Homeowner Yellow: City Pink: HRG