HomeMy WebLinkAboutSump Pump Inspection
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City of Prior Lake
Sump Pump and III Reduction
Inspection Form App}
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\~ vi J fV\ bf{ J \ TV' ti C. 1 Date: t - 11- /1 Time: D 10 0 a.m./p,m.
Name:
Prior Lake, MN 55J7..1
Phone: '196-;)0 17
First Inspection 0
Own: ~ent: 0
Residential: r:::J.--
Non-Residential: 0
Second 13'""
Age of Home:":'v( :.
Address: Lj 9 91 r;,~c L {!. N E
~
A.
'-<->r-J~' L.
BASEMENT ~ 0 No
WATER IN BASKET ~ ONo
- WATER IN BASEMENT (flow over floor)
SUMP BASKET 0 0 I3"'lO 2 0 3 0
SUMP PUMP ~O 1 0 2 0 3 0
o Yes l3"1"ro CISTERN 0 Y es ~
,
'.
...
(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
at Inspection:
o Laundry tub
o Floor drain
o Sanitary sewer
o Other
o Outside
Prior to Inspection:
When was system installed, or most recently modified? (Date)
and why
o Home came with system 0 Response to inspection program 0 Other
o Water in basement 0 Previous system failed
B. ROOF LEADERS: 0 Yes ~ DISCHARGE: 0 Near 0 Away
C.
YARD DRAINS
BEAVER SYSTEM
o Yes ~
o Yes CYM"0
WINDOW WELLS 0 Yes I3-NO
PROPERTIES WITH SUMP PUMPS
When does pump run? 0 Fall 0 Summer 0 Spring
(check all that apply) How often does pump run?
Where does pump discharge to outside? 0 Front 0 Back 0 Side
-NOTES~.-.-r~-:;;'f.-'~:-;._._;~-~'::~-;r-'-'f<';:;.;:j;~'i"f~~~:;_.-7~'-::"-'-~';~-;~'-'-'~:'~~;:-._'-'_.-
....cl v'J: (( VI 0-1 ( ....+ ~(.. 11 '"" vvt((. ,.t'-: 1'1 <:,1 i ..Ii ( d,
SUMP PUMP SYSTEM: 0 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? 0 Yes 94'fo
Where is this location?
This area will need to be fixed so the clear water discharges to the storm sewer system,
'JE ~ ~:=: ff:~i!
D.
o Winter
Inspector:
Resident:
Disclaimer: This visual inspection is done with due diligence to rmd obvious clear water cross-connections
and does not im I the structure meets all Ci Codes.
White: Homeowner
Yellow: City
Pink: HRG
City of Prior Lake
Sump Pump and III Reduction
Inspection Form
RJJVE;J8-6'eLL Y.c;cy' Date~9-99 Time~~.m./p.m.
-
First Insp~on ~ond 0 /
Own: if RES9-- Age of Home~
Residential: B"'" J
Non-Residential: 0
'.A" '. ~
~' ,,~..
Name:
Address:Y'99/ $EI1C1-) Slr AlE'
Prior Lake, MN 55,31:0 Phone~(%-..20/9
,,~
BASEMENT es ~o SUMP BASKET LJ 0 l(J..;1'~ 2 LJ 3 LJ
WATER IN BASKET DYes LJNo SUMPP~ LJ 0 cr1 LJ 2 LJYLJ-
WATER IN BASEMENT (flow over floor) LJ Yes rD4fo CISTERN LJ Yes ~
A.
(If no pump, place sticker across edge of sump cover and basement floor so any removal of cover will
break seal. Skip to Part B of this form.)
Discharge Point
at Inspection:
LJ Laundry tub
LJ Floor drain
LJ S~wewer LJ Outside
a:v6ther ~ eDE"N )-JOSS' /,A./ .8;:)$jO:/
Prior to I ection:
When s system installed, or most recently modified? (Date)
and why
LJ Other
Home came with system
LJ Water in basement
LJ Response to inspec . n program
LJ Previous syst ailed
B.
C.
ROOF LEADERS:
YARD DRAINS
BEAVER SYSTEM
LJ Yes ~V
LJ Yes ~y
LJ Yes ~o
DISCHARGE: LJ Near LJ Away
WINDOW WELLS LJ Yes ti'No
D. PROPERTIES WITH SUMP PUMPS
When does pump run? LJ Fall LJ Summer LJ Spring LJ Winter
(check all that apply) How often does pump run?
Where does pump discharge to outside? LJ Front LJ Back LJ Side
-~();riis~'---'-~~~~~i-'-~~~-~'-----'-----'---~-'-----------------,---------------------------,-.---.-.-
~ 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.
~
SUMP PUMP SYSTEM:
LJ PASS
DYes
Is there another place where clear water enters the sanitary sewer system?
Where is this location?
This area will need to
Inspector:
Resident:
Date:
Date:
Disclaimer: This visual inspection is done with due diligence to f'md obvious clear water cross-connections
and does not im I the structure meets all Cit Codes.
White: Homeowner
Yellow: City
Pink:: HRG