HomeMy WebLinkAboutSump Pump Inspection
City of Prior Lake
Sump Pump and III Reduction
Inspection Form
ANNUAL CERTIFICATION RE-INSPECTION 2002
Name: ~\Lb\N~\
Address: ~2 \ lA;\}lillE.. A'JE-
Prior Lake, MN 55372
Phone: 44-0- Sl.tlk
Date:~ Time: q..ooamp
Inspection: 0 Second )!( Third
li Own 0 Rent
}S Residential
Age of Home:
o Non-Residential
A. BASEMENT JlYes 0 No SUMP BASKET DO XlI 02 0 3 0_
WATER IN BASKET DYes t2!'-No SUMP PUMP OO)g1I 02 0 3 0_
WATERINBASEMENT 0 Yes JitNo CISTERN 0 Yes Ji{No
(If no pump, place sticker across edge of sump cover and basement floor so any removal of cover wiIl break seal. Skip to Part B.)
Discharge Point
at Inspection:
o Laundry tub
o Floor drain
o Sanitary sewer
o Other
)8n Outside
Prior to Inspection: . ' l
When was system installed, or most recently modified? (Date) \1/ qq and why?
. 0 Home came with system 0 Response to inspection program 0 Water in basement
,. Previous system railed 0 Other
!
B. ROOF LEADERS 0 Yes )dNo DISCHARGE 0 Near OAway
C. YARD DRAINS 0 Yes IS1 No WINDOW WELLS 0 Yes )(No
BEAVER SYSTEM., 0 Yes ~No
D. PROPERTIES WITH SUMP PUMPS
When does pump run? " Fall "Summer" Sprlni 0 Winter
(check all that apply) How often does pump run? Vent, Of-+ev\ au.( t~ V'QIY"\ s.~r'lAS
Where does pump discharge to outside? 0 Front ,.Back 0 Side ~
.............................................................................................................................................................................................................................................................................................................................................................................-.............
NOTES:
SUMP PUMP SYSTEM:
7' PASS
o FAIL You have 30 days to bring your system into compliance with current
regulations. Please caI/9521447 .9833 for a re-inspection appointment.
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.
DYes
)i(No
I IDspecro'{)l~
ReSIdent:
Date: ~ 01-
Date:
Disclaimer: This visual inspection is done with due diligence to find obvious clear water cross-connections
and does not im I the structure meets all Cit Codes.
~I~ U:,~y VlIHLJ3D 3{ICt (0 2-
.
" ..
City of Prior Lake
Sump Pump and III Reduction
Inspection .form
Name: \ 1.L,<:(A\Lo t~ Date: \ 1/ :Y1-'1QTime: l35a.m.8
Address: \\oql\ ~~~,~~S~ ~~~:~:~:g ~;~~'t:me:4-
(' 0'- Residential:.e'
Prior Lake, MN 55 7; 11- Phone: \\~~ - jb ~ Non-Residenti~l: 0
A. BASEMENT a:Y es 0 No SUMP BASKET 0 0 ~ 1 0 2 0 3 0
WATER IN BASKET ~es 0 No SUMP PUMP 0 0 lV1 0 ~ 9 3 0
WATER IN BASEMENT (flow over floor) 0 Yes ~No CISTERN 0 Yes ..Q{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
)("" Outside
o Sanitary sewer
o Other
\ 'L- \c-\\
B.
C.
Prior to Inspection:
When was system installed, or most recently modified? (Date)
o Home came with system )S( Response to inspection program ~ Other
o Water in basement 0 Previous system failed
ROOF LEADERS: )J:Yes 0 No DISCHARGE: 0 Near ~ Away
YARD DRAINS 0 Yes~...No WINDOW WELLS 0 Yes)(No
BEAVER SYSTEM 0 Yes 12' No
and why
D.
PROPERTIES WITH SUMP PUMPS
When does pump run? 0 Fall l( Summer
(check all that apply) How often does pump run?
Where does pump discharge to outside? 0 Front
o Side
~Pring
~ack
o Winter
---.-.---.-.-------------.-----------------.-----.-------.-----.-------------------.-------------------------.-------.-.-----------
NOTES:
SUMP PUMP SYSTEM:
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.
JfNO
PASS
Is there another place where clear water enters the sanitary sewer system?
Where is this location?
This area will neecl
DYes
Inspector:
Resident:
Date:
Date:
Disclaimer: visual inspection is done with due diligence to fmd obvious clear water cross-connections
and does not im I the structure meets all Cit Codes.
White: Homeowner
Yellow: City
Pink: HRG
. \I'::"~ ,,~ .,:.
; .r '~;'J."
City of Prior Lake
Sump Pump and III Reduction
Inspection Form
Name: K(~ kOwsk,' I 0tllV'\'1F,j D"'VJ4
Date: 7- 2- 7, '71 Time: tJr 1.5" a.m.lp.m.
Prior Lake, MN 55.J 7...;L.
Phone: '-;"/0 -;-666
First Inspection ~Second 0
Own: ~Rent: 0 Age of Home:-2S:yr.:.
Residential: ~
Non-Residential: 0
Address: It r Z I DI"'~'t+t ~ .A f. .: r.J
A. BASEMENT ~ LJ No SUMP BASKET LJ 0 a'1 LJ 2 LJ 3 LJ
WATER IN BASKET ~s LJNo SUMPPUMP. LJ 0 cr"""lLJ 2 LJ 3 LJ
WATER IN BASEMENT (flow over floor) LJ Yes I3"NO CISTERN LJ Yes ~
(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 ~ry tub
at Inspection: LJ Floor drain
LJ Sanitary sewer
LJ Other
LJ Outside
Prior to Inspection:
When was system installed, or most recently modified? (Date)
~me came with system LJ Response to inspection program
.(r,,,..cc't2J>'Water in basement LJ Previous system failed
~.l
B.' ROOF LEADERS: LJ Yes ~
C. YARD DRAINS LJ Yes ~
BEAVER SYSTEM LJ Yes 9--No
and why
LJ Other
DISCHARGE: LJ Near LJ Away
WINDOW WELLS ~ LJ No
D.
PROPERTIES WITH SUMP PUMPS
When does pump run? LJ Fall LJ Summer LJ Spring
(check all that apply) How often does pump run? ;:;<1 "'~.. f It' ;'"
Where does pump discharge to outside? LJ Front ' LJ Back
LJ Winter
J/,,., J.................,
, LJ Side
&,1' I... v'
Rv;1-11
NOTES:
LJ PASS ~ 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 ~
Where is this location?
This area will need to be fixed so the clear water discharges to the storm sewer system.
I =::: 1J;;~~ZhoL . ~::: ~-- ~~~ ;:
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.
SUMP PUMP SYSTEM:
White: Homeowner
Yellow: City
Pink: HRG