HomeMy WebLinkAboutSump Pump Inspectiont ~
,~~~ pRI~ ~ City of Prior Lake
~ ~ Sump Pump and I/I Reduction
~rNNE5~~~ Inspection Form
ANNiTAL CERTTFICATION RE-INSPECTION 2002
Name: ~ eV'~ Date: ~~ 2. Time: :~aml~P
~~, Address: ~'~j ~"f 1~ rrVio,r~~- ,~~ • Inspection: ^ Second ~ Third
Prior Lake, MN 55372
Phone:
~ Own ^ Rent Age of Home:
6~ Residential ~ Non-Residential
A. BASEMENT ~Yes ^ No SiJMP BASKET ^ 0 1^ 2 ^ 3~ ^_
WATER IN BASKET ^ Yes ^ No SUMP PUMP ^ 0 ~ 1 ^ 2^ 3^_
WATER IN BASEMENT O 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 p Laundry tub O Sanitary sewer ~ Outside :
at Inspection: ^ Floor drain ^ Other
Prior to Inspection:
When was systexn installed, or most recently modified? (Date)
.^ Home came with system ^ Response to inspection program
~,Previous system failed ^ Other
B. ROOF LEADER5 ^ Yes ~No DISCHARGE
C. YARD DRAINS ^ Yes No WINDOW WELLS
BEAVER SYSTEM ^ Yes ~No
^ Near : ^ Away
^ Yes ~No
D. PROPERTIES WITH SUMP PUMPS
When does pump run? ^ Fall ^ Summer ^ 5pring ^ Winter
(check all that apply) How often does pump run?
Where does pump discharge to outside? O Front ^ Back ~ Side
NOTES:
SUMP PUMP SYSTEM: J'~.PASS ^ FAIL You have 30 days to bring your system into compliance with cunent
regularions. Please ca119521447-9833 jor a 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: ~ ~ O 2'
Reside 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.
and why?
^ Water in basement
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~~ PRI~~ City of Prior Lake
~ ~
U ~ Sump Pump and I/I Reduction
~
fNNES~~ Inspection Form
Name: ~'1 ~~{'~'~~~~'~t'1 Date: ~~ '1 b Time: ~•~~~ am/~
Inspection: O First ~f~ Second
Address: 1 r~ 141 ~rc~ frnc~n+-~ A~1 e, ~ o~ ^ Rent Age of Home: ~~~
Prior Lake, MN 55372 Phone: ~->> ~~~ Residential ~ Non-Residential
A. BASEMENT `,~Yes D No SUMP BASKET ^ 0~ 1 p 2 ^ 3 p
WATER IN BASKET ~f Yes ^ No SUMP PUMP ^ 0 ~ 1 p 2 ^ 3 ^
WATER IN BASEMENT O Yes ~g; No CISTERN O Yes l~(l~o
(If no pu~np, place sticker across edge of sump cover and basement floor so any removal of cover will break seal. Skip to Part B.)
Dischatge Point ^ Laundry tub p Sanitary sewer ,~' Outside
at Insp~ction: p Floor drain p Other
Prior to Inspection:
When was system installed, or most recently modified? (Date)
p Hatne came with system ^ Response to inspection program p Other
p W~ter in basement ~j Previous system failed
B.
ROOF-LEADERS p Yes '~j No DISCHARGE p Near
p Away
C. YARD~DRAINS O Yes ~No WINDOW WELLS p Yes ~$No
BEAVER SYSTEM p Yes ~No
D. PROPERTIES WITH SUMP PUMPS
When does pump run? O Fall f~ Summer ^ Spring ^ Winter
(check all that apply) How often does pump run?
Where does pump discharge to outside? O Front O Back ,~Side
NOTES:
SUMP PUMP SYSTEM: ~ PASS ^ FAIL ~ You hane 30 days m bri~~g your.ry.rlene iiuo conipliance wilh currenl
regulalinn.s. When ynttare readY./'or re-in.~~ec~ion, ca!! 952/447-9833 fr~r un ap~in/rne~u.
Is there another place where clear water enters the sanitary sewer system?
Where is this location?
This area will need to be fixed so the clear water discharges to the storm sewer system.
Inspector. ~ Date: ~~/'~0/
Resident: ` 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.
~ Yes ~No
and why?
-~es rdc~~ f ~ y~y rN~r le~ ~/~~~°~
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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 ~dry tub ~ Sanitary sewer Q Outside
at Inspection: loor 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
O Water in basement
B. ROOF LEADERS:
C. YARD DRAINS
BEAVER SYSTEM
l~ Previous system failed
~7 Yes L~~1Vo DISCHARGE: a Near ~ Away
O Yes ~o WINDOW WELLS ~ Yes I~'~
~ Yes l~-~34"~0
D. PROPERTIES WITH SUIVIP PUMPS ~ ~-
When does pump run? ~ Fall C~-5ummer C~"'S~ring a Winter
(check all that apply) How often does pump run? UH ,~ o~.v~
V~here does pump discharge to outside? ~ Front ~ Back ~ Side
NOTES:
SUMP PUMP SYSTEM: ~ PASS AIL You have 30 days to bring your system into compliance with current
regutations. When you are ready for reinspection, ca[! 651 /644-1469 for an appointment.
Is there another place where clear water enters the sanitary sewer system? ~ Yes ~-~'o
Where is this location?
This area will ne~,,,e _d to be fixed so ~ he clear water discharges to the storm sewer system.
Inspector:
Resident:
Date: /' J
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 ~ s ~ No 5UMP BASKET ~ 0 C3" 1~ 2 l~ 3~.
WATER IN BASKET ~ Q No SUMP PIJMP ~ 0 ~~ 2 ~ 3 ~
Vi~A1'ER IN BASEMENT (flow over floor) ~ Yes L3~Qo CISTERN ~ Yes ~~''