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Home My WebLink AboutSump Pump Inspection, ~~~ pRI~~~, City of Prior Lake ~ ~ Sump Pump and I/I Reduction ~rNNES°~~ Inspection Form ANNTTAT. C'FRTiFiCATiON RE-INSPECTION 2002 Name: ~~~,~, Date: ~'J~ 1 r~2 Time: ~'. ~ S am/p~ Address: ~~J32-~ ~C~C~~~_ ~EQ . ~spection: ^ Second ~ Third Prior Lake, MN 55372 `~ Own ^ Rent Age of Home: Phone: `i `~~ ~ ~ `~~ ~ Residential ~ Non-Residential A. BASEMENT -',~ ~~1Yes WATER IN BASKET ~`~ Yes ^ No ~ No SUMP BASKET SUMP PIJMP p 0 1 ^ 0 ~ 1 ^ 2 ^ 3 ^ ^ 2 p 3^ WATER IN BASEMENT ^ Yes ~No CISTERN ^ Yes '~jNo (If no pump, place siicker across edge of sump cover and basement floor 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) .^ Home came with system ^ Response to inspection program ,~ Previous system failed ^ Other ~. B. ROOF LEADERS ~Yes ^ No ' DISCHARGE ^ Near ^Away C. YARD DRAIN~ ^ Yes o ' WINDOW WELLS N ^ Yes ~No BEAVER SYSTEM o ' O Yes ~ D. PROPERTIESWITH SUMP PUMPS When does pump run? ^ Fall ^ Summer ~Spring O Winter (check all that apply) How often does pump run? Where does pump discharge to outside? ^ Front Back ^ Side NOTES: SIJMP PUMP SYSTEM: ~ PASS ^ FAIL You have 30 days to bring your system into compliance with current regulations. Please call 9521447-9833 for a re-inspection appoinhnent. Is there another place wltere cleaz water enters the sanitary sewer system? 0 Yes .~°'~1vo Where is this location? '• This area will need to be fixed so the clear water discharges to the storm sewer system. Inspector/ Date: 51 / I,OZ^ Resident: 1 Date: ~'- ~ " ~ z/ Disclaimer: Th visual ins ection is done with due diligence to find obvious clear water cross-connections I and does not imp he cture meets all City Codes. ~ ,:~~>~'`~ ~,~~; /2~~ C~~ ~ S-3I-o2 ~ and why? ^ Water in basement ~ Outside ~ , . A. BASEMENT ~Yes ~ No SUMP BASKET ~ 0~" 1~ 2 O 3 17 WATER IN BASKET ~Yes a No SUMP_ P~JMP ~ 0 I~' 1~ 2, Q, 3~ WATER IN BASEMENT (flow over floor) I~ Yes ,~~ No CISTERN Ca 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 Q Laundry tub Q Sanitary sewer ~Outside at Inspection: ~ Floor drain ~ Other Prior to Inspection: ( ~ When was system installed, or most recently modified? (Date) r`~ I., and why a Home came with system ,~ Response to inspection program ~ Other O Water in basement ~ Previous system failed B. ROOF LEADERS: ~ Yes ~ No DISCHARGE: ~ Near .~ Away ~ C. ~ YARD DRAINS Q Yes ~ o WINDOW WELLS a Yes ~ No BEAVER SYSTEM ~ Yes ~No D. PROPERTIES WITH SUMP PUMPS When does pump run? ~ Fall D Summer ,~ Spring ~ Winter (check all that apply) How often does pump run? V~here does pump discharge to outside? Q Front ~ 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, call 651 /644-1469 for appointment. Is there another place where clear water enters the sanitary sewer system? Q Yes .l~No Where is this location? This area will need,t~p~g{~'~ed so ~Ipe clear water discharges to the storm sewer system. Inspector: Resident: Date: ~ L "G `1 ' Date: / ~- - Z q - Disclaimer: This visual inspection is done th d diligence to fmd obvious clear water cross-connections and does not imply the structure meets all ity odes. White: Homeowner Yellow: City Pink: HRG a. ~ ,~ ~"~ ___~ ~ ~ ~~; ~,~ City of Prior Lake Sump Pump and I/I Reduction Insuection Form ~~' T~ ~j '/,/ ~ Name: VV~}~ r4 J~~ ~~l ~~~~~1.~-C.- Date~"~~" ~~ Time%Y"Yi~.m./p.m. ~~ ~~,~-- ,_' / `~ First In_sp, ~ion ~''" Second ~ Address:/~~~~ ~~ ~:.~/~~~~L~~~ Own: L~` Rent: ~ A e of Home:2~ . ~ ~ ~ ~y ,~/ ~,,s Residential: ~ Prior Lake, MN 55~/~ ~,Phone7~~"~~~ Non-Residential: ~ A. BASEMENT ~es ~1<10 5UMP BAS T O 0 I~~,/~ 2~ 3 ~ WATER IN BASKET t~" I~es ~ No SUMP P O 0 0~ 1~ 2~ Q/~ ~ WATER IN BASEMENT (flow over floor) ~ Yes o CISTERN ~ Yes a'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. ) ~2ischarge Point ~ Laundry tub L~ Sanitary sewer utside at Inspection: ~ Floor drain ~ Other Prior to Ins ction: . When ~ s system installed, or most recently modified? (Date) and why ~;::, ome came with system ~ Response to`inspection program ~ Other ~ Water in basement O Prev' us system failed B. ROOF LEADERS: ~'Yes =No DISCHARGE: O Near t4~'~way ,^~~~~~~ C. YARD DRAINS L"~.,~p .~ es Q No WINDOW WELLS ~ Yes ~ BEAVER SYSTEM ~Li4 µ ~ Yes ~ No A D. PROPERTIES WITH SUMP PUMPS ~/~~ When does pump run? ~ Fall ~ Summer f'J S ring ~j Winte/r ~ (check all that apply) How often does pump run? ~~~L ~ KA %~ (.J`~~~ V~Fhere does ump discharge to outside? '~'~ Front ~ Back O Side ,~tJt NOTES: ~-----•- - ~~---- ~}i9..~ /~''.~~ X' ~~OS E` ~-•-----•-----•-•-•-•-----------•-•-•-•-•-•-•-•-•- il SUMP PUMP SYSTEM: ~ PASS AIL You have ~0 days to bring your system into comp[iance with current regulations. When you are ready for reinspection, cal[ 651 /644-1469 for an appointm . Ts there another place where clear water enters the sanitary sewer system? ~ Yes o Where is this location? This area will ,need to b xed e clear e ~harges to the storm sewer system. Inspector: • Date: "~ ~- Resident: ,, ,(/ , a ~",~, Date: -//- I Disclaimer: This visual inspe~etjlon is d¢ne with due diligence to find obvious clear water cross-connections I and does not imulv the structufre me~s all Citv Codes. .,,;, White: Homeowner Yellow: City Pink: HRG