HomeMy WebLinkAboutSump Pump Inspection,~a~ pRI°~~, City of Prior Lake
~ ~ Sump Pump and I/I Reduction
~jNNES°~~' Inspection Form
ANNiTAi. CF.RTiFICATION RE-INSPECTION 2002
Name: ~Ol.~ YYIe,Y-' Date: ~~ ~lA~ ~~ Time: •~ a~/pm
Address: ~~ (..P I F~~i r IGtw~ 51~~~e~ Tr (• Inspection: ^ Second ~ Third
Prior Lake, MN 55372 ~, ~ Own ^ Rent Age of Home: _~.
~~,~ ~
; Phone: - ~-~ •~ (v~~77Q ~ Residential ~ Non=Residential
A. BASEMENT '~ Yes ^ No SiJMP BASKET ^ 0 ~ 1 ^ 2 p 3 ^_
WATER IN BASKET ^ Yes ^ No SIJMP PiTMP ^ 0 ~ 1 ^ 2 ^ 3^_
WATER IN BASEMENT ~ Yes I~ 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.)
Discharge Point O Laundry tub ^ Sanitary sewer ~ Outside
at Inspection: ^ Floor drain 0 Other ~1 (~, _~ ~1'B?i~'
Prior to Inspection:
When was system installed, or most recently modified? (Date) and why?
.^ Home came with system ^ Response to inspecrion program ^ Water in basement
~ Previous system failed ^ Other
B. ROOF LEADERS ~ Yes ^ No DISCHARGE j8(, Near ^ Away
C. YARD DRAINS ^ Yes ~BQNo WINDOW WELLS 0 Yes 17 No
BEAVER SYSTEM ^ Yes ~No
D. PROPERTIES WITH SUMP PUMPS
When does pump run? ^ Fall ~ Summer ~ Spring ^ Winter
(check all that apply) How often does pump run? l.~ ~.IY1
Where does pump discharge to outside? ~Front ^ B k ^ Side
NOTES:
SUMP PUMP SYSTEM: T~I PASS ~ FAIL You have 30 days to bring your system into compliance with current
regulations. Please ca11 952/447-98 3 3 for a re-inspection appoinhnent.
Is there another place where cleaz water enters the sanitary sewer system? ~ Yes -~No
Where is this location?
This area wili need to be fixe c ear water disc a o the storm sewer system.
Date: ~~~ ~~ ~ ~ ~
Date:
Disclaimer: This visual inspection is done with due diligence to find obvious clear water cross-connections I
and does not imply the structure meets all City Codes.
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{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:
a Laundry tub Q Sanitary sewer Q Outside
a Floor drain ~ Other
Prior to Inspection:
When was system installed, or most recently modified? (Date)
~ Home came with system ~ Response to inspection program ~ Other
~ Water in basement ~ Previous system failed
and why
B. ROOF LEADERS: ~ Yes ~ No DISCHARGE: ~ Near Q Away
C. YARD DRAINS ~ Yes ~ No WINDOW WELLS ~ Yes ~ No
BEAVER 5YSTEM ~ Yes ~ No ,
D. PROPERTIES WITH SUMP PUMPS
When does pump run? ~ Fall ~ Summer ~ Spring ~ Winter
(check all that apply) How often does pump run?
V~here does pump discharge to outside? ~ Front ~ Back ~ Side
NOTES: -•-•- - ~~,r, -•-•~/~--
/~ --~1~-/,S~`~'ALG ~•O /lT~. k./ -•-lT V C,, ---~ •---•-
Qu7S~o~ ;
SUMP PUMP SYSTEM: L~ASS ~ FAIL You have 30 days to bring your system into compliance with ent
regu[ations. When you are ready for reinspection, ca11651/644-1469 for pointment.
Is there another place where clear water enters the sanitary sewer system? ~ Yes No
Where is this location?
This area will need to be ed e-clear v~ater diecharQes to the storm~sewer svstem.
Inspector: ' ~''`'`~"'- ~..~ Date: `f"" - / "~' - 7 7
Resident: ~~6~, ~ ` (', ; ~ Date: - / ~ '
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 ~ Yes d No SiJMP BA5KET ~ 0 ~ 1 L7 2~ 3 Q
WATER IN BASKET ~ Yes a No SiTMP PiTMP ~ 0 ~ 1 I~ 2~ 3 O
WATER IN BASEMENT (flow over floor) ~ Yes ~ No CISTERN O Yes a No
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City of Prior Lake
-- Sump Pump and I/I Reduction
ion Form ~~~,~ ~ y
Name:~C~~ ~~7~/t~fi~~ ~!.J,~4 //,C? Date:~~' ~f ~ ~ ~Time;~DO~a.m./p.m.
~, ~ `~~'
~~ j/ y~/~~ p~ 1 First In_s~p~ ion LLJ~cond ~ I
Address: ~~ ~c/ ~i1elO.~.ES Own: tH' Rent: Age of Home: ~/ ~
//./ Residential: ~ ~
Prior Lake, MN 55 3~i~ Phone?~~Yd~-~~•~~ Non-Residential: ~
A. BASEMENT ~Yes~o 5iTMP BASKET C~ 0 E~~,.~0 2 O 3 ~
WATER IN BASKET es ~ No SiJMP
P~ O 0 C~1 ~ 2 ~ 3 CJ
WATER IN BASEMENT (flow over floor) ~
~ Yes L~o CI 5TERN D Yes ~-1Qo
(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 t~0utside
at Inspection: L~ Floor drain ~ Other
Prior to Inspection:
When was systern installed, or most recently modified? (Date) `'r and why
'~ Home came with system Q Response to inspection program a Other
~ Water in basement Q Previous system failed
B. ROOF LEADERS: L 9~ Y e s Q No DISCHARGE: Q Near L'L~YAway
C. YARD DRAINS ~ Yes ~~' N~ WINDOW WELi.S L~es Q No
BEAVER 5YSTEM O Yes ~'No
D. PROPERTIES WITH 5UMP PUMPS
When does um run? ~ Fall ~ Summe S rin Winte~j
(check all that apply) How often does p n? ~~A ~g A/ N
V~here does pump discharge to outside? ront ~ Back ~ Side
NOTES: i~~ S/`~'iA 5---•~~ ~. ~~..~OSE ~ OL( TS/ ~D E
SUMP PUMP SYSTEM: ~ PASS AIL You have 30 days to bring your system into comp[iance with current
regulations. When you are ready}'or reinspection, ca[l 651/644-1469 for an appointment.
Is there another place where clear water enters the sanitary sewer system? ~ Yes f~,] .Ad'6~~
Where is this location?
This area will need to be ed e clear w~Cer s arges to the storm sewer system.
Inspector:
Resident:
Date: ~ - //-
Date: ~
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 Ye(low: City Pink: HRG