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Home My WebLink AboutSump Pump Inspection,~~4 PRI~'~'~, City of Prior Lake ~ U ~ ~ Sump Pump and I/I Reduction ~rhN E 5~~~ Inspection Form ANNiTAi. CF,RTIFICATION RE-INSPECTION 2002 Name: ~~GC"~7er' Date: ~ Z O Z Time:.3~~ ~pm Address: ~~O 7 2. ~I~IG{~P:~~'.~~K. Inspection: ^ Second ~ Third Prior Lake, MN 55372 ~' Own p Rent Age of Home: Phone: 1-~`~' ~ - ~ ~ ~(o ~ Residential ~ Non-Residential A. BASEMENT ~Yes ^ No SUMP BASKET ^ 0 1^ 2 p 3 ^_ WATER IN BASKET ^ Yes '~ No SUMP PUMP ^ 0 ~ 1 ^ 2 p 3^_ WATER IN BASEMENT ^ Yes ~ No CISTERN ^ Yes ~No (If no pump, place sricker across edge of sump cover and basement floor so any removal of cover will break seal. Skip to Part B.) Discharge Point ^ Laundry tub ^ Sanitary sewer ~ Outside at Inspection: ^ Floor drain ^ Other Prior:to Inspection: . When was system installed, or most recently modified? (Date) ~ ~ ~ I~~'~ and why? , p Home came with system ^ Response to inspection program ^ Water in basement ~Q Previous system failed ^ Other ~ . B. ROOF LEADERS ^ Yes ^~to DISCHARGE ^ Near ^Away C. YAR,D DRAINS ^ Yes ~No WINDOW WELLS ^ Yes ,~No BEAVER SYSTEM ^ Yes No ' D. PR4PERTIES WITH SUMP PUMPS When does pump run? ^ Fall ^ Summer ^ Spring ^ Winter (check all that apply) How often does pump run? J2(~~ Where does pump discharge to outside? ^ Front ^ Bac - ~Side NOTES: SUMP PUMP SYSTEM: ~APASS ^ FAIL You have 30 days to bring your system into compliance with cunent regu(adons. Please cal[ 952/447-9833 jor a re-inspection appointment. Is there anoth2r place where clear water enters the sanitary sewer system? 0 Yes ~ No Where is this'locarion? This area will need to be fixed so the clear water discharges to the storm sewer system. Inspector: Date: ~ ?/ ~~ . Resident: Date: Disclaimer: This visual inspection is done with due diligence to fnd obvious clear water cross-connections and does not implv the structure meets all Citv Codes. _ ~Ps/~~ ~y ~IP~ 5~3~Z d~v City of Prior Lake Sump Pump and I/I Reduction Ins~ection Form Name: ~ ~i C/ ~~°''S ~-'^ G ~' ,~ ~' ~'`. Address: 1 F~ ~~Z ~99~~' ~~~ ~ ~"P ,s~ Prior Lake, MN 55 3~~ Phone: ~{ d--5ld.~~7 Date: ~~ 2`~-' ~' Time: ~ a.m.~j~ First Inspection ~ Second ~ Own: ~ Rent: ~ Age of H me:~ Residential: ~ Non-Residential: O A. BASEMENT ~Yes Q No SiJMP BASKET ~ 0~ 1 ~ 2 ~ 3 O WATER IN BASKET ~ Yes 17 No SiJMP PUMP O 0~' 1~~ 3 ~ WATER IN BASEMENT (flow over floor) ~ Yes ~No CISTERN ~ 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 ~ Laundry tub ~ Sanitary sewer ,,~ Outside at Inspection: ~ Floor drain ~ Other Prior to Inspection: When was system installed, or most recently modified? (Date) 1` ~ and why 17 Home came with system ~ Response to inspection program ~ Other ~ Water in basement B. ROOF LEADERS: C. YARD DRAINS BEAVER SYSTEM D Previous system failed ~Yes ~ No DISCHARGE: Q Near ~Away ~ Ye No WINDOW WELLS ~ Yes~] No ~ Yes No D. PROPERTIES WITH SUMP PUMPS When does pump run? ~ Fall ~ Summer Spring L7 Winter (check all that apply) How often does pump run? V~here does pump discharge to outside? ~ Front Q Back Side NOTES: SUMP PUMP SYSTEM: ~PASS ~ 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 ~Q No . Where is this location? ~ This area will need~ to b~ ~~l~so the, cle water discharges to the storm sewer system. Inspector: Resident: Date: ~ L. Date: 17 - .- Disclaimer: This visual inspection is4lone with due diligence to find obvious clear water cross-connections and does not imply the structure meets all City Codes. White: Homeowner Yepow: City Pink: HRG ~.: ~-, ~:~. ~~ ~~ ~ A. r, B. C. Discharge Point at Inspection: BASEMENT -~'f"es ~ No SUMP BASKET ~ 0 ~~ 2 ~ 3 ~ WATER IN BASKET ~'Y'~es ~ No SUMP PUMP ~ 0 I~''1 ~ 2 ~ 3 ~ WATER IN BASEMENT (flow over floor) ~ Yes I~'~Q"o CISTERN O Yes C~6'" (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.) . . _~: Prior to Inspection: ~'" When was system i~stalled, or most recently modified? (Date) ~,, ~/,,~J and why I~ Home came with system ~ Response to inspection program ~~ Other I~'W~ater in basement ~ Previous system failed ~ Laundry tub ~ Sanitary sewer ~ L'J"Outside ~ Floor drain ~ Other ROOF LEADERS: ~ Yes l~~Q'o YARD DRAINS ~ Yes L~'~io BEAVER SYSTEM ~ Yes ~To DI5CHARGE: Q Near ~ Away WINDOW WELLS ~ Yes ~i~o ,~~ D. PROPERTIE5 WITH 5UMP PUMPS " When does pump run? Q Fall ~ Summer ~ing D Winter (check all that apply) How often does pump run? ~~ -~ -¢'~ ; ~ S(~ / ~ ~ ~ u ~ ~ri ~ (( -~ ~ I A ~ h , V~here does pump discharge to outside? ~ Front ~ Back T- NOTES: ~---•-•-•-•-- ~~r~ -• ~>-•-•v ~ ~ l ; ~~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, ca11654/644-1469 for an appointment. Is there another place where clear water enters the sanitary sewer system? ~ Yes ~'1~0~ Where is this location? This area will need to be fixed so the clear water discharges to the storm sewer system. I Inspector: d~ Date: ~ J l~ J~ I Resident: .~..~ ,~r _„ Date: '7- .3 ~ - ~ q Disclaimer: T~i'~s visual inspe~tion 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