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HomeMy WebLinkAboutSump Pump Inspection~~ ,~ ~~ ~, ~ B. 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.) Discharge Point ~ Laundry tub L'7 Sanitary sewer at Inspection: ~ Floor drain d Other Prior to Inspection: When was system installed, or most recently modified? (Date) ~ Outside and why ~ Home came with system ~ Response to inspection program ~ Other ~ Water in basement ~ Previous system failed ROOF LEADER5: YARD DRAINS BEAVER SYSTEM '~ YYes ~ No DI5CHARGE: ~'~Near ~ Away ~ Yes C~''~io WINDOW WELLS ~ Yes L~''l~To D Yes ~''~10 D. PROPERTIES WITH 5UMP PUMPS When does pump run? ~ Fall ~ Summer (check all that apply) How often does pump run? V~here does pump discharge to outside? Q Front NOTES: O Spring Q Winter a Back ~ Side SUMP PUMP SYSTEM: ASS ~ FAIL You have 30 days to bring your system into comp[iance with current regulations. When you are ready for reinspection, ca[I 651 /644-1469 for an appointment. Is there another place where clear water enters the sanitary sewer system? ~ Yes A`'l~~o Where is this location? This area will need to be fixed so the clear water discharges to the storm sewer system. Inspector: ,~, ~ ~~~,- ~~r;~u ~ Date: ~ ~ ~ 9y Resident: / Date: ~'`- ~ - y 9 ~ 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 C,. a V" ~ I ~ . . A. BASEMENT L~"Yes ~ No SUMP BA5KET L3'~0 ~ 1 ~ 2 ~ 3 ~ WATER IN BASKET ~ Yes Q No SUMP PUMP I~0 ~ 1 C] 2~ 3 ~ WATER IN BA5EMENT (flow over floor) ~ Yes ~1Vo CI5TERN ~ Yes L~o ~~. .w? ~.•.~.3 ~ !~~~~..1 4.~~~J ~..i r '1 f~'~ G~- y' G:~ ~ L'~ :~ ~j .~-'t'_O r' r-.''M , City of Prior Lake Sump Pump and I/I Reduction Insnection Form ~~ Name: -~ ~ ~ ~2 '~' Address: ~~. ~,3' GG''G~G~'1~.,~,~ ~,.~,~,i~/~P .S~ Prior Lake, MN 55 Phone: Date: -<..~`~! ~7 Time: a.m./p.m. First Ins ection ~( Second ~ Own:~ R t: ~ Age of Home: Residential ~ Non-Residential: ~ A. BASEMENT L~ Yes ~No SUMP BASKET 0~ 1 ~ 2 ~ 3 O WATER IN BASKET O Yes ~ No ~IJMP P P 0 O 1 ~ 2 a 3 ~ WATER IN BASEMENT (flow over floor) Yes 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 ~ Other Prior to Inspection: When was system installed, or most recently modi~ed? (Date) and why ~ Home came with system ~ Response to inspection program ~ Other ~ Water in basement ~ Previous system failed B. C. D. ROOF LEADERS: ~ Yes~ No DISCHARGE: ~ Near ~ Away YARD DRAINS ~ Yes No WINDOW WELLS O Yes ~ No BEAVER SYSTEM ~ Yes No NOTES: ,~ ~ Winter O Side SUMP PUMP SYSTEM: ~ PASS ~ 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~eey~ to b~/ti~ced so the clear ~e discharges to the storm sewer system. I Inspecto • ' Date: ~-/S " `7 ~' I Resident: Date: Disclaimer: This visual inspection is done with due diligence to f'ind obvious clear water cross-connections and does not imply the structure meets all City Codes. PROPERTIES WITH SUMP PUMPS When does pump run? ~ Fall ~ Summer ~ Spring (check all that apply) How often does pump run? V~here d~ s pump discharge to outside? Q Front ~ Back , White: Homeowner Yellow: City Pink: HRG ''` -~~ ~~ ,"~ ~ ~~ ~ ~~~ ~ r a ~~'.y~ , ~ ~..: ~ ~_. ._ nF~ t~ City of Prior Lake Sump Pump and I/I Reduction ection Form A. BASEMENT ~ Yes~No 5UMP BASKET ~ 0 ~ 1 ~ 2 ~ 3 Q WATER IN BA5KET Yes ~ No SUMP PUMP ~ 0 O 1 ~ 2 ~ 3 a WATER IN BASEMENT (flow over floor) ~ Yes ~To CI5 ERN ~ Yes ~10 (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 l7 Other ~ Water in basement O Previous system failed B. ROOF LEADERS: Q Yes ~No DISCHARGE: ~ Near ~ Away C. ,YARD DRAINS ~ Yes,~ No WINDOW WELLS ~ Yes~ No BEAVER SY5TEM ~ Yes ~No D, PROPERTIES WITH SUMP PUMPS When does pump run? ~ Fall Q Summer ~ Spring ~ Winter (check all that apply) How often does pump run? V~here does pump discharge to outside? ~ Front ~ Back O Side NOTES: ~--- - •-------•-•- ----- -•- - -•-•-•- ----- --- ~-------~-•-•-•-•-• -•-•-•-•-•-•-•-•-•---•-•-•---•---•-•- SUMP PUMP SYSTEM: PASS I~ FAIL You have 30 days to bring your system into compliance with current regulations. When you are ready for reinspection, cal[ 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 wil o be ed so the clear water ' charges to the storm sewer system. Inspecto • Date: :.. =t' Resident: Date: Disclaimer: This visual inspection is done with due diligence to find obvious clear water cross-connections and does not im~ly the structure meets all City Codes. White: Homeowner Yellaw: City Pink: HRG ~ ~ \ . / ) !, .,.. ,~^"~ J r~P~...~ 1;..:' d , ^y 4 7~ ( ...../ (: ..e:..a.. / <.,.1 / ! City of Prior Lake Sump Pump and I/I Reduction ection Form Name: ~,, ~. / ~'~ ~~ ~~ ~, Address ~,,,~ ,~ ~,~(JC~~~~ ~C./'~L~~ f l ~, Prior Lake, MN 55 Phone:~`~~ c~ , r- -. Date: c~~o~.~ ~'j Time:~~a. Jp.m. First Inspection ~ Second ~ Own: ~ Re t: ~ Age of Home:~ Residential:~ Non-Residential: ~ J~.-'c,Jw~R...: ~ I.r~,,.^• r-- -. A. BASEMENT ~Yes ~ No SUMP BASKET 0~ 1 ~ 2 ~ 3 ~ WATER IN BA T~ Yes ~ No SiJMP UMP 0~ 1 ~ 2 ~ 3 Q ~~ WATER IN BASEMENT (flow over floor) ~ Yes~No CISTERN ~ Ye 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 Q Laundry tub ~ Sanitary sewer O Outside at Inspectxon: ~ Floor drain ~ Other Prior to Inspection: When was system installed, or most recently modified? (Date) and why Q Home came with system ~ Response to inspection program O Other O Water in basement ~ Pr ious system faile~~~'~ ~'~-"~'~- ~... ~~,--~4-e.,`~ B. ROOF LEADERS: Y8S No DISCHARGE: ~ Near ~ Away ~ C. D. YARD DRAINS ~ Yes l,~ No WINDOW WELLS BEAVER SYSTEM ~ Ye~No PROPERTIES WITH 5UMP PUMPS When does pump run? ~ Fall ~ Summer (check all that apply) How often does pump run? V~here does pump discharge to outside? ~ Front SUMP PUMP SYSTEM .~ Is there another place ~ Where is this location? This area will ~eed~to 1 ~ Spring ~ Back O Yes~ No a Winter 17 Side ~ FAIL You have 30 days to bring your system into compliance with current regulations. When you are ready far reinspectio~ [[ 651 /644-1469 for an appointment. White: Homeowner Yellow: City Pink: HRG Disclaimer: This visual inspection is done with due diligence to find obvious clear water cross-connecnons and does not imply the structure meets all City Codes.