HomeMy WebLinkAboutSump Pump Inspection
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City of Prior Lake
Sump Pump and III Reduction
Inspection Form
Name~tltE S;S;l-~' / .
Date: 9-1% -97' Time:/I..1t)~p.m.
Prior Lake, MN 55
Phone:
/J \ 1/ \ First Inspection l2r"
{ / ~ I '1W Own:~ Rent: 0
Resident1al~
N on-Residential: 0
Second 0
Age of Home:
Address;J;;l.j.Y tf "7/ CR /)/u. f
A.
BASEMENT 0 Yes ~o
WATER IN BASKET 0 Yes 0 No
WATER IN BASEMENT (flow over floor)
SUMP BASKET }{O 0 1 0 2 0 3 0
SUM~fUMP ~O 0102030
o Yes fJ-No CISTERN 0 Yes R'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 ~No DISCHARGE: 0 Near 0 Away
o Yes A No WINDOW WELLS 0 Yes 0 No
o Yes ~No
B.
C.
ROOF LEADERS:
YARD DRAINS
BEAVER SYSTEM
D. PROPERllES ~1111 SUMP PUMPS
When does pump run? 0 Fall 0 Summer 0 Spring 0 Winter
(check all that apply) How often does pump run?
.NOTES~~~~~Z~r;(5~~-;;~.J_.~_.B~~~._._._._.~_.S~d~._._.-.-.-.-.-.-.-.--
~~I ~ .
SUMP PUMP SYSTEM:
~ASS
o 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.
Jet No
DYes
Is there another place where clear water enters the sanitary sewer system?
Where is this location?
This area~i~..J:' be P?ed so the c.le~r wate.r~.' arges to the storm sewer system.
Inspect : / f~ -r7 --() ..'::J Date: 9'-/Y-l"';1
Resident: \,.... '"/ Date: r
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
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City of Prior Lake
Sump Pump and III Reduction
Inspection FOil11
Name: /v1C! {(., he){ 4..../ f .
~~,...:
Date:.f- '7- '7-; Time: J,Syoa.m./p.m.
Prior Lake, MN 553"7':;
Phone: Lll/o - 5(../1./ ty
First Inspection ~ Second 0
Own: B"'" Rent: 0 Age of Home: J ()
Residential: e--
Non-Residential: 0
Address:--.:L.J I ~ (?c..-f-tv r'I,,1 ~ //t, JV~
. ,-
A.
vJ4'f/4o,,1"
BASEMENT C3-"Yes tJ No
WATER IN BASKET 0 Yes 0 No
WATER IN BASEMENT (flow over floor)
SUMP BASKET 0 0 i7l 0 2 0 3 0
SUMP PUMP C)4) 0 1 0 2 0 3 0
o Yes l3":No CISTERN 0 Yes r3-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
B.
C.
o Home came with system 0 Response to inspection program
o Water in basement 0 Previous system failed
F""'~es 0 No
o Yes ~o
o Yes a'No
o Other
ROOF LEADERS:
DISCHARGE: 0 Near I3"'Away
WINDOW WELLS 0 Yes ~o
1$ d'l'(d +ij
-+.' I ~ f.."VI JO/fo...1
-Jo d </ I) ~f
YARD DRAINS
BEAVER SYSTEM
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:
SUMP PUMP SYSTEM:
~SS
o 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.
Et'ifo
DYes
Is there another place where clear water enters the sanitary sewer system?
Where is this location?
This area will need to be fixed so the clear water discharges to the storm sewer system.
Inspector: U~./ ~ -J>-rJ~ Date: !.., - 7 - '7 ?
Resident: ~ 'A J.., Yt\. "~J ....Y Date: L - 7 ~ 9,9
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