HomeMy WebLinkAboutSump Pump Inspection.
~~4 PRI~ ~, City of Prior Lake
~
U
~ ~ Sump Pump and I/I Reduction
Q'
rNNES°~ Inspection Form
ANN[JAL CERTIFICATION RE-INSPECTION 2002
Name: l- ~ ~ ~ ~'"~ ~
Address: ~~J~' -e (~(7 ~ ~ ~~
Prior Lake, MN 55372
Phone: 2 -`L~p- 2355
Date: ~~ ~Z~ ~' ~
Inspection: ^ Second
~j Own p Rent
~ Residential
Time: ~ amfp~r
~ Third
Age of Home: i ~
~ Non-Residential
A. BASEMENT ~'I Yes ^ No SiJMP BASKET p 0 Q4' 1^ 2 ^ 3 ^_
WATER IN BASKET ~ Yes ^ No SUMP PUMP ^ 0 ~ 1 ^ 2^ 3^_
WATER IN BASEMENT ^ 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.)
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
~1Previous system failed ^ Other
B. ROOF LEADERS ^ Yes ~No DISCHARGE ^ Near ^ Away
C. YARD DRAINS ^ Yes ~No WINDOW WELLS ^ Yes ~'No
: BEAVER SYSTEM ^ Yes ~No
D. PROPERTIES WITH SUMP PUMPS
When does pump run? ^ Fall ^ Summer . ,~S ring ^ Winter
(check all that apply) How often does pump run? fi~l ~
Where does pump discharge to outside? ^ Front ^ ack ,,~ Side
NOTES:
SiJMP PUMP SYSTEM: ~[ PASS O FAIL You have 30 days to bring your system into compliance with cunent
regulaNons. Please call 952/447-9833 for n re-inspection appointment.
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.
Inspector: Date: _/T~ Z~ I ~~
Resident: . Date:
Disclaimer: This visaal inspection is done with due diligence to find obvious clear water cross-connections
and does not imply the structure meets all City Codes.
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Insnection Form
Name: ~ e ~ k2 , .`~ ~?~~' ~2 ~
Address: ~~~~/,r ~~'~U~.f /¢/~ /1f ~/
Prior Lake, MN 55 ~ ~7a Phone: ?.,~ - ~ ~ ~~~
~ „~ „/is
A. BASEMENT es ~ No
WATER IN BASKET ~s Q No
WATER IN BASEMENT (flow over floor)
Date: ~ 2 7~ 9~' Time: Q`/ D 0 a.m.lp.m.
First Inspection O
Own: ~ Rent: ~
Residential: ~
Non-Residential: ~
Second 13~~
Age of Home:
SUMP BASKET O 0 L~~ Q 2 ~ 3 i7
5UMP PUMP ~ 0 t~~'1"' ~ 2 ~ 3 a
~ Yes L~'o~ CISTERN ~ Yes I~#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 Q La.undry tub ~ Sanitary sewer C~"C'F'~tside
at Inspection: L~ Floor drain ~ Other
Priar to Inspection:
Vwhen was system installed, or most recently modified? (Date) ~ G and why
l7 Home came with system
Q Water in basement
B. ROOF LEADERS:
C. YARD DRAINS
BEAVER SYSTEM
Q Response to inspection program ~ Other
~-Previous system failed
~ Yes Q No DISCHARGE: ~ Near ~ Away
~ Yes Q No WINDOW WELLS ~ Yes Q No
~ Yes ~ No
D. PROPERTIES WITH SUMP PUMPS
When does pump run? ~ Fall ~ummer ~'Spring Q Winter
(check all that apply) How often does pump run? /~~-~-~ k!•~ ~ ~ _
-- -V~here does pump discharge to outside? ~ Front O Back i e
NOTES: i.f~ ~ ~,,.~~ i r.r ~~ t~~~'-- ~~rW P~~- `{-~a ~c-1+.; ~ ~-~-•-•-•---•-•-•-•-•-•-•--
Inspector: G Date: ~-~ 7' - 9 y
Resident: Date: ~ - ~ 7 - ~ ~
SUMP PUMP SYSTEM: ASS ~ FAIL You have 30 days to bring your system into compliartee with current
regulations. When you are ready}'or reinspection, cal[ 651/644-1469 for an appointment.
Is there another place where clear water enters the sanitary sewer system? C~ Yes I~~
Where is this location?
This area will need to be fixed so the clear water discharges to the storm sewer systern.
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
City of Prior Lake
Sump Pump and I/I Reduction
Yellow: City
Pink: HRG
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When w system installed, or most recently modified? (Date) and why
~~came with s stem ~ Res onse to inspection program ~ Other
Y P
~ Water in basement ~ Previous syste failed
ROOF LEADERS: ~ Yes L~~'T1o . DISCHARGE: Q Near Q Away
YARD DRAINS ~ Yes L7 N~o,.~' WINDOW WELLS ~-''Yes D No
BEAVER SYSTEM ~ Yes ~~o
~- ,;~- ' ~r-~'~:/ - 3 ~'~f 9 ~-
~ ~
Name: ~~~ k '~.) ~ Dai~ %~~ -/ Time~ Q m./p.m.
~ . ~ ~ First Inspection ~"" Second Q
Address ~~ ~~~ J~'.~:-~~On/ ~~+~ Own: ~t'"~Rent: ~ Age of Home: ~~
~J Residential: C3--'"`!
Prior Lake, MN 55~ %ri~i Phon~-~ ~`=j~~ Non-Residential: ~
A. BASEMENT [9~Yes ~~D~' SUMP BASKET ~ 0 ~~~1 ` 2 ~ 3 ~
WATER IN BA5KET ~'Yes ~ No SiJMP P ~''~"~ 0 lYl Q 2, ~ ~3
WATER IN BASEMENT (flow over floor) ~ Yes ~i~i~C~fo CISTERN ~ 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 ~ Laundry tub I~ Sanitary sewer utside
at Inspection: ~ Floor drain ~ Other
Prior to Inspection:
B.
C.
D.
NOTES
PROPERTIES WITH SUMP PUMPS
y
x
x,~.~;: ~.+
City of Prior Lake
Sump Pump and I/I Reduction
Ins~ection Form
izo
SUMF PUMP SYSTEM: ~ PASS AIL Yoahave SO~eI'ays to bring your system into compliance wuh current
regu[ations. When you are ready for reinspection, ca11651 /644-1469 for an appointment.
Is there another place where clear water enters the sanitary sewer system? O Yes ` LD.~~6""~
Where is this location?
This area will need t fi the clea , at ischarges to the storm sewer system.
Inspector:
~-~7'3 Date: ~
Date: ~~
_,._,_
Disclai~mer: 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.
When does purnp run? ~ Fall ~ Summer Spring Wi~} ter
(check all that apply) How often does pump run? ~A~/ ~ ~~~/
V~here does pump discharge to outside? 17 Front r~ Back ~-~S~id~`'
--- ---- f-~'°"C~ ~C----~-~s ~`. ..`~o . .~(,Q.7s`iQ ~--------=~---~-----------._._._._
White: Homeowner
Yellow: City ' l
Pink: HRG