HomeMy WebLinkAboutSump Pump Inspection~~
,~
~~ ~,
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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.