HomeMy WebLinkAboutPump Sump Inspection
City of Prior Lake
Sump Pump and III Reduction
Inspection Form
Name: .FR 13.0 I1ILK C, 0 ,v
Date: 9"'#99 Time: c;:z a.m.~
Prior Lake, MN 55
Phone:
First Iet'ection ~
Own: ~ Rent: 0
Residential)i!f
N on-Residential: 0
Second 0
Age of Home:
AddressJ f1373u fft3,e/Var I]~ JV ~
A. BASEMENT 0 Yes b No SUMP BASKET )0 0 0 1 0 2 0 3 0
WATER IN BASKET o Yes ONo SUMP PUMP k1 0 0 1 0 LO 3 0
WATER IN BASEMENT (flow over floor) 0 Yes )('NO CISTERN 0 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
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) <~1
;md why
o Home came with system 0 Response to inspection program
o Water in basement 0 Previous system failed
ROOF LEADERS: 0 yes)( No DISCHARGE: 0 Near 0 Away
YARD DRAINS 0 Yes)1. No WINDOW WELLS 0 Yes 0 No
BEAVER SYSTEM 0 Yes)( No
PROPER. JJ:!.S WITH SUMP PUMPS
When does pump run? 0 Fall 0 Summer 0 Spring 0 Winter
(check all that apply) How often does pump run? .._.,.,_-'-'-~..
-NOTES;~~~;~#;C;;~~~-~-~;1~-_~k______---~-_S~~~---------------------
v -. ~,
o Other
,~;.,
B.
C.
D.
SUMP PUMP SYSTEM:
~ PASS
o FAIL You have 30 days to bring yolir:rysteminto compliance with current
regulations. When you are ready for reinspection. call 651/644-1469 for an appointment.
)7i No
DYes
Is there another place where clear water enters the sanitary sewer system?
Where is this location?
This area Wi01 . be)ir-ed so the clear wat~.r 'scharges to the storm sewer system.
Inspector: _ l!A -I2-<<ytJ.-,>;) Date: Cj'-i7.0 -q 7'
Resident: 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
City of Prior Lake
Sump Pump and III Reduction
Inspection FOIIII
Name: F; t' ).....1 It.' j. uV\
M (,v ~
Date: f- "7 1 i Time: /6/r a.m./p.m.
First Inspection ~ Second 0
Own: a- Rent: 0 Age of Home: ) j
Residential: !3-
Non-Residential: 0
Address: '3>/1) 7J",I-f"IY'~+ ~/fl N~
Prior Lake, MN 55 (/.::2 Phone: "/'l7- 7:L Lit
A.
vJe- It. u~ +"
BASEMENT M'es 0 No
WATER IN BASKET 0 Yes 0 No
WATER IN BASEMENT (flow over floor)
SUMP BASKET ~ 0 1 0 2 0 3 0
SUMP PUMP !:YO 0 1 0 2 0 3 0
o Yes 9-No CISTERN 0 Yes l3-No
(If no pump, place sticker across edg~ 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
o Previous system failed
o Other
B.
C.
ROOF LEADERS:
YARD DRAINS
BEAVER SYSTEM
o Yes l3-'"No
o Yes ~
o Yes e--No
DISCHARGE: 0 Near 0 Away
WINDOW WELLS 0 Yes e-r:<<)
D.
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
o Winter
o Side
NOTES:
~ 0 FAIL You have 30 days to bring your :rystem 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 ~o
Where is this location?
This area will need to be fixed so the clear water discharges to the storm sewer system.
Inspector: C-> ..A~' / ~ J "---r ____ Date: S - 7. ,.,
<) 1/1,"' l7
Resident: C/J'!f.r' y/", ~'-- Date: ;- - ''''11
SUMP PUMP SYSTEM:
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