HomeMy WebLinkAboutSump Pump Inspection
City of Prior Lake
Sump Pump and III Reduction
Inspection Form
Name: 1)/EC-t:.A s
Prior Lake, MN 55
Phone:
Date:Vt> -97 Time:// S-a.m.~
First ~tion JIf Second 0
Own~ Rent: 0 Age of Home:
Residentlal~
Non-Residential: 0
Address8/f.3 :itnr~1t!.. Altlr CI ~ Sw
A. BASEMENT 0 Yes )fNo SUMP BASKET .M 0 0 I 0 2 0 3 0
WATER IN BASKET 0 Yes 0 No S~lUMp'j? 0 0 1 0 2 0 3 0
WATER IN BASEMENT (flow over floor) 0 Yes /? No CISTERN 0 Yes 0 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
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
o Water in basement
o Response to inspection program 0 Other
o Previous system failed
o Yes X. No DISCHARGE: 0 Near 0 Away
o Yes ~ No WINDOW WELLS 0 Yes 0 No
o Yes~ No
B.
C.
ROOF LEADERS:
YARD DRAINS
BEAVER SYSTEM
D. PROPERTIES WITH SUMP PUMPS
When does pump run? 0 Fall 0 Summer 0 Spring 0 Winter
(check all that apply) How often does pump run?
Where doe pump discharge to outside? 0 Front 0 Back 0 Side
-~c;1riis~'-'-'-' . .-.-...-. .-r._._ . ._~-~~~.~~._._._._._._._._._._._._._._._._._._._._._.-.-.-.-.-
SUMP PUMP SYSTEM: ~ ASS 0 FAIL You have 30 days to bring your system into compliance with current
regulations. When you are ready for reinspection. ca1l651/644-146~ for an appointment.
Is there another place where clear water enters the sanitary sewer system? 0 Yes -'r No
Where is this location?
This area ~to)9ixed so the ~lear ~..~; 1ischarges to the storm sewer system.
InspertOr: J-II :~~.!;~ Date: 9',.70 -.97'
Resid~L Date:
Disclaimer: This visual inspection is done with due diligence to C"md obvious clear water cross-connections
and does not imply the structure meets all City Codes.
White: Homeowner
Yellow: City
Pink: HRG
S~I
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.~!...".....
.,~
.,..........1
City of Prior Lake
Sump Pump and III Reduction
Inspection FOliil
Name:J:)';;CKiYS, CNl9ft;(,ES Date0-.2-99 Tim~"m./p.m.
/ )/W
-? 8 f) Nt.' /7 First Insp~on ~ond 0 I L"'.
Address: v /3 '\C)t{.:7'7:EE 'tt/ G/,e, Own: 19"" Rent: ~ge of Home:/'\:J "P)?S
12 / /. ~ ,,a. Residential: llJ/"" -.J
Prior Lake, MN 55":;> ~ Phone:"'t'7' 1- ~ Iv Non-Residential: 0
/ r1~ ~......... / /' /'
f\-A./l.A.A...- f<,... 1./ / ' /"
BASEMENT Mes DNo SUMPBASKET ~CY11' 1 0 2~3
WATER IN BASKET o Yes 0 SUMPP ~ a 1 0 2 0 0
WATER IN BASEMENT (flow over floor) 0 Yes ~STERN 0 Yes 0
NP,o )/
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:
o Laundry tub
o Floor drain
o Sanitary sewer 0 Outside
--
o Other
Prior to Inspection:
When was system installed, or most recently modified? (Date)
---
and why
B.
C.
o Home came with system 0 Respons to inspection program 0 Other
o Water in basement 0 Prey.' s system failed
ROOFLEADERSfp.e,1IAV Yes 0 Ny DISCHARGE: 0 Near ~ ./
YARD DRAINS 0 Yes ~~ WINDOW WELLS 0 Yes ~
BEAVER SYSTEM 0 Y es ~
PROPERl U!.S WITH SUMP PUMPS
When does pump run? 0 Fall 0 Summer
(check all that apply) How often does pump run?
Where does pump discharge to outside? 0 Front
D.
o Spring--'Ef Winter
o Back
o Side
_._._._._._._._._._._._._..._._._._._._._._._._._._._~-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.....-.-.-.-.-.-.-.-.-.-.-...-...-.-.-
NOTES: /'
/
~ASS
SUMP PUMP SYSTEM:
o FAIL You have 30 days to bring your system into compliance with c rrent
regulations. When you are ready for reinspection. call 651/644-1469 for an 'Pointment.
Is there another place where clear water enters the sanitary sewer system? 0 Yes
Where is this location? _
This area will need to be ~ s~clear wate~c~s to the storm sewer system.
Inspector: ~! . _ ~ ~~.-/ Date:.3 - Z - ]I 7
Resident: :{/ ~::.. '(./(.Ll~/r_. Date: .3 -2 - 7/'
, ---
Disclaimer: This visual inspection is done with due diligence to rmd obvious clear water cross-connections
and does not imply the structure meets all City Codes.
White: Homeowner
Yellow: City
Pink: HRG