HomeMy WebLinkAboutSump Pump Inspection
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City of Prior Lake
Sump Pump and III Reduction
Inspection FOil11
Name: FL'(lf V
Date:~/~ '7 Time:
a.m./p.m.
Prior Lake, MN 55
Phone:
First InspectionJeJ
Own:~ Rent: b
Residential:n
Non-Residential: 0
Second 0
Age of Home:
Address~ '1 d.~.:J... ~ ""-eJe. IV f..l r e..t....
A.
BASEMENT 0 Yes )J No
WATER IN BASKET 0 Yes 0 No
WATER IN BASEMENT (flow over floor)
SUMP BASKET es. 0 0 1 0 2 0 3 0
SUMP PUMP 8' 0 0 1 0 2 0 3 0
o 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
B.
C.
ROOF LEADERS:
YARD DRAINS
BEAVER SYSTEM
o Response to inspection program 0 Other
o Previous system failed
o Yes ~o DISCHARGE: 0 Near 0 Away
o Yes)( No WINDOW WELLS 0 Yes 0 No
o Yes~ No
o Home came with system
o Water in basement
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?
.~C;iiiiS~~r~~~~~~~~~e~~~_._.~_.B~~._._._._.~_.S~~~._._._._._._._._._._.
SUMP PUMP SYSTEM:
?( PASS
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.
Is there another place where clear water enters the sanitary sewer system? 0 Yes 'm No
Where is this location? "'-
This area w~~ be}l1ed so the c~ear ~ discharges to the storm sewer system.
Inspe~( ~/{A.I-7~~' Date: 9-/Y-7"
Resident: .-' Date:
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
'^'~
\:)\J
"v.
~'
r
A. ",
B.
C.
D.
NOTES:
City of Prior Lake
Sump Pump and III Reduction
Inspection FOl111
Name: Ff.rf Y \ (" {/{' Ide L-./ ;Sc- V1?1 ('
Address: --3..:? ~.2 n ... --{ -I t.. Y1 -..,1 L /1? 1\ I w
Prior Lake, MN 55] "7:2 Phone: Lj {f () - 6? 1'7
1.,./ "'" I t, ,~ +
BASEMENT i3'1'es 0 No
WATER IN BASKET o Yes ONo
WATER IN BASEMENT (flow over floor)
Date: {- 7- 19 Time: jGJCl a.m./p.m.
First Inspection e('
Own: g.-- Rent: 0
Residential: g.--
Non-Residential: 0
Second 0
Age of Home: "2 I
SUMP BASKET 13'1>' 0 1 0 2 0 3 0
SUMP PUMP 13""0 0 1 0 2 0 3 0
o Yes GJ-No CISTERN 0 Yes B-No
SUMP PUMP SYSTEM:
",
(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)
White: Homeowner
o Home came with system
o Water in basement
and why
o Response to inspection program
o Previous system failed
o Other
ROOF LEADERS:
YARD DRAINS
BEAVER SYSTEM
l3"Yes 0 No
o Yes crNo
o Yes 9"'No
DISCHARGE: 0 Near k}o-j\way
WINDOW WELLS 0 Yes ~o
PROPERllliS 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
~ASS 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 Y es ~o
Where is this location?
This area will need to be fixed so the clear water discharges to the storm sewer system.
Inspector: ' 0 ~i ~~. Date: f ' f - 9 'I
Resident: Date: ( . 7' '19
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.
Yellow: City
Pink: HRG