HomeMy WebLinkAboutSump Pump Inspection/ YRI~~~, City of Prior Lake
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~ ~ Sump Pump and UI Reduction
~r~NES°~~ Inspcction Form
ANNT1Ai, C'F.RTiFICATION RE-INSPECTION 2002
Name: D.~ t~.
Address: ~ ~i d rj~j ~}('at ~ ~.~:~~Kf
Prior Lake, MN 55372
Phone: ~ - ~~ `, ~Z
Date: IQ Q"2 Time: ~ am/~
Inspection: ^ Second ~ Third
p` Own ^ Rent Age of Home:
)Sl Residential ~ Non-Residential
A. BASEMENT ~ Yes C7 No SiJMP BASKET ^ 0~. 1^ 2 ^ 3 ^_
WATER IN BASKET ^ Yes ~`d No SUMP PUMP ^ 0 ~ 1 ^ 2 ^ 3^_
WATER IN BASEMENT ^ Yes 1~ No CISTERN ^ Yes 1~ No
(If no pump, place sticker across edge of sump cover and basement flopr so any removal of cover will break seal. Skip to Part B.)
Discharge Point :; ^ Laundry tub
at Inspection: ^ Floor drain
^ Sanitary sewer
^ Other
Prior to Inspection: .
When was system installed, or most recently modified? (Date) and why?
.^ Home came with system ^ Response to inspection program ^ Water in basement
'~Previous system failed ^ Other
B. ROOF LEADERS ^ Yes ~No - DISCHARGE ^ Near [] Away
C. YARD DRAINS ^ Yes No _ WINDOW WELLS
~
~ ^ Yes ~No ;
No
^ Yes
BEAVER SYSTEM :
D. PROPERTIES WITH SiTMP PUMPS
When does pump run? ^ Fall ^ Summer ^ Spring ^ Winter~
(check all that apply) How often does pump run?
Where does pump dischazge to outside? ^ Front ^ Back ,T~Side
NOTES:
SUMP PUMP SYSTEM: ~I PASS ^ FAIL You have 30 days to bring your system into rnmpliance with current
regulations. Pfease call 952/447-9833 for a re-inspection appoinhnent.
Is there another place where clear water enters the sanitary sewer system? ~ Yes ~ No
Where is this location? •
This area will need to be fixed so the clear water discharges to the storm sewer system.
Inspec Date: ~ 1~ ~ ~~
~ ~
Resident~ ~,,.~. ~~ ~~ Date:
Disclaimer: This visual inspection is done with due diligence to find obvious clear water cross-connections
and does not implv the structure meets all Citv Codes.
~'Outside
~~~~,t ~y ,~~~ ~/,4~Z ~
, ` ~.~ ~~
-~-~~__~~~~
~
A. BASEMENT ~Yes ~ No SUMP BASKET ~ 0,I~ 1~ 2 ~ 3 ~
WATER IN BASKET ~Yes ~ No 5iJMP PUMP ~ 0~ 1~ 2 ~ 3 ~
WATER IN BASEMENT (flow over floor) ~ Yes ~ To CI5TERN ~ Yes ~o
(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 O Laundry tub ~ Sanitary sewer Outside
at Inspection: ~ Floor drain ~ Other
Prior to Inspection:
When was system installed, or most recently modified? (Date) and why
~ Home came with system ~ Response to inspection program ~ Other
~ Water in basement ~ Previous system failed
B. ROOF LEADERS: ~ Yes d No DISCHARGE: ~ Near ~ Away
G YARD DRAINS L7 Yes 1~ No WINDOW WELLS ~ Yes~ No
BEAVER SYSTEM ~ Yes~ No
D.
PROPERTIES WITH SUMP PUMPS
When does pump run? D Fall ~ Summer
(check all that apply) How often does pump run?
V~here does pump discharge to outside? ~ Front
-•- _ -~ ----------•~•r•---~---•-•---------•---•-----._.L.-•-•-•--~-
~ Spring ~ Winter
NOTES:
~ Back ~ Side
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, ca[l 651/644-1469 for an appointment.
Is there another place where clear water enters the sanitary sewer system? ~ Yes ~ No
Where is this location?
This area will eed to ~ fixed so the clear w r discharges to the storm sewer system. ~
Inspec r• Date: /~'j //-
Resident• ~'} ~ Date:
Disclaimer: This visual inspection is done with due dilig ce to find obvious clear water cross-connections
and does not impl_y the structure meets all City Codes.
White: Homeowner Yellow: City Pink: HRG
~
r~
,r~ ~ . . -
1
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~
(If no pump, place sticker across edge of sump cover and basement floor so any removat of cover will
break seal. Skip to Part B of this form.)
Discharge Point ~ Laundry tub ~ Sanitary sewer D'Ou s de
at Inspection: a Floar drain •~ Other
Prior to Inspection:
When was system installed, ar most recently modi~ed? (Date)~ ~ yq9 and why
~ Home came with system ~onse to inspection program ~ Other
°~ Water in basement Q Previous system failed
B. ROOF LEADER5: Q Yes '1~o DISCHARGE: ~ Near ~ Away
C. YARD DRAINS Q Yes L~1-'~"o WINDOW WELLS ~ Yes ~-~'S'
BEAVER 5YSTEM ~ Yes I~o
D. PROP~RTIES WITH SIJA~P PUMPS ~,,/
When does pump run? I~ Fall '` L.~''~ummer ~d''S"pring ~ Winter
(check all that apply) How often does pump run? /~}-F~'a~ ~~ ~a ;~ s, i„~ _~~`/~ .1~~ ~~ j,
Where does pump discharge to outside? ~ Front ~ Back A-~S~lc
NOTES: --------•-•-•-•- ~/~~ --• -~ ~+~ 1~.I ~ ~P ,---•-•-----•-•-•-•-•-•---•-•-•-•-•-------•-•-•-•-•-----•-•-•-•-•-•-•- -
SUMP PUMP SYSTEM: ~ PASS AIL You have 30 days to bring your system into comp[iance 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? ~ Yes C-~-~fitT~
Where is this location? ~
This area will ueerL~to be ~xed so the clear water discharges to the storm sewer system.
I Inspector: U.-~r.~ d""'T Date: '~ ~/- 9 J I
Resident: , Date: ~~,~ l- ~ f
Disclaimer: This visual inspection is done with due diligence to find obvious clear water cross-connections
and does not imply the structure meets all City Codes.
White: Homeowner Yellow: City Pink: HRG
A. BASEMENT '~3"~es ~ No SUMP BASKET ~ 0 ~~ 2 Q 3 O
WATER IN BASKET ~ d No SUMP PUMP D 0 ~ C] 2~ 3 Q
WATER IN BASEMENT (flow over floor) ~ Yes C3-~T'o CISTERN ~ Yes ~-