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Home My WebLink AboutSump Pump Inspection~,~4 pRI°~~, City of Prior Lake ~ ~ Sump Pump and I/I Reduction ~rhN S 5~~~ Inspection Form ANNiTAi. CERTIFICATION RE-INSPECTION 2002 Name: ~{~~1~1~p1~ Date: ~ lD 02 Time: ~;~ am,~ Address: ~~~~.G j~ZT ~CV~ Inspection: ^ Second ~ Third Prior La.ke, MN 553 2 ~, Own ^ Rent Age of Home: ~if Phone: ' O -~ - ~ Residential ~ Non-Residential A. BASEMENT ~31Yes ^ No SLJMP BASKET ^ 0~ 1 ^ 2 p 3 ^ WATER IN BASKET ~Yes ^ No SUMP PiJMP ^ 0 1 p 2 ^ 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 Inspecrion: ^ Floor drain ^ Other Prior to Inspection: fo 97 When was system instal ed, or most recently modified? (Date) IM~ ,/~j~~ ~~99 and why? ,^ Home came with system ^ Response to inspection program ^ Water in basement ~JPrevious system failed ^ Other B. ` ROOF LEADERS ^ Yes ~ No DISCHARGE ^ Near ^ Away C. ' YARD DRAINS ^ Yes o WINDOW WELLS ^ Yes ~No ~EAVER SYSTEM ^ Yes ~1NNo D. PROPERTIES WITH SUMP PUMPS When does pump run? ^ Fall ^ Summer ^ Spring ^ Winter (check all that apply) How often does pump run? Where does pump discharge to outside? ~I Front ^ Back ^ Side NOTES: SiJMP PUMP SYSTEM: ~l PASS ^ FAIL You have 30 days ro bring your system into compliance witk current regulaNons. Please ca119521447•9833 jor a re-inspecNon appoinhnent. Is there another place where clear water enters the sanitary sewer system? ~ Yes ~ No Where is this locarion? __ This area will need to be fixed so the clear water discharges to the storm sewer system. 5 l.V ~~ Inspector: Date: Resident: Date: b Disclaimer: This visual inspection is done with due diligence to find obvious clear water cross-connections and does not implv the structure meets all Citv Codes. ~~ j- ~Y n~.a..%~ 5/b/o2 ~r,oJ 2_ 5 2 (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 Q Sanitary sewer ~, Outside ~ at Inspection: Q Floor drain C] Other ~ Prior to Inspection: When was system installed, or most recently modified? (Date) and why , O 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 ~ Yes ~ No WINDOW WELLS ~ Yes ~ No BEAVER 5YSTEM ~ Yes ~ No D. PROPERTIES WITH SUMP PUMPS When does pump run? ~ Fall ~ Summer ~ Spring D Winter (check all that apply) How often does pump run? Where does pump discharge to outside? O Front ~ Back ~ Side NOTES: 5UMP PUMP SYSTEM: ~ PASS ~ FAIL You have 30 days to bring your system into compliance wuh current regutations. When you are ready for reinspection, caU 651/644-1469 for an appointment. Is there another place where clear water enters the sanitary sewer system? ~ Yes L~.,No Where is this location? This area will need to be fixed so the clear water discharges to the storcn sewer system. Inspector: Date: b ~ Resident: / i ...~''7 Date: Disclaimer: This visual inspection is done with due diligence to find ob~ious clear water cross-connections and does not imulv the structure meets all Citv Codes. White: Homeowner Yellow: City Pink; HRG A. BASEMENT ~Yes ~ No SiJMP BASKET ~ 0 ~9. 1~ 2 ~ 3 ~ WATER IN BASKET ~Yes ~ No SUMP PUMP ~ 0~I 1~ 2 Q 3 ~ WATER IN BASEMENT (flow over floor) ~ Yes ~ No CISTERN ~ Yes L7 No ^wr::i .. ,.~~...i:~*, ~. ~~ o° a°` ~~ ~ ~ t ~, ~ ~ E~~ ja,5(`~ .'~,1r~P Y~~'. ~'.~1~.~ ,~~ d`r'' , t ~ City~ of ~Prior Lake Sump Pump and I/I Reduction ection Form Name: ~ ~, ~~.,s d ~, , ~~~ ~ r ~'i Address: J,~ ~77 I ~~ w~~~,-t- ~~~JP, 1~V~ Prior Lake, MN 55 J 7.,,2 Phone: y Y4 -~'~ o/ Date: ~/- -2~~ 9'9 Time: •~~p~ a.m./p.m. First Inspection LL3~ Second ~ Own: @'~ Rent: Q Age of Home: /~ Residential: L~ Non-Residential: ~ ~,a~•~ ~ -. ! A. A~EMENT C~Yes ~ No SUMP BASKET ~ 0 ~1 ~ 2 ~ 3 ~ ~ATER IN BASKET t3'rYes ~ No SUMP PUMP ~ 0 ~1 ~ 2 ~ 3 ~ WATER IN BASEMENT (flow over floor) Q Yes L~'l~To CISTERN ~ Yes L~'l~io (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 C3" Outside at Inspection: ~ Floor drain ~ Other Prior to Inspection: When was system 'nstalle , or most recently modified? (Date) ~`/' 7 and why ~ Home came with system ~ Response to inspection program ~ Other a Water in basement I~ Previous system failed B. ROOF LEADERS: ~ Yes L~No DISCHARGE: ~ Near ~ Away ` C. YARD DRAINS ~ Yes 1~1o WINDOW WELLS ~ Yes Q" No BEAVER SY5TEM ~ Yes C~No D. PROPERTIES WITH SUMP PUMP5 ~~ When does pump run? Q Fall L~ummer C9''Spring ~ Winter (check all that apply) How often does p~p run? c~~, v ~~f ~^ "°~ y+' ~~ u ~_ V~here does pump discharge to outside? ~ront O Back ~ Side K _ -.1._. NOTES: -•-•-•-•---•---•-•---•-•-•-- .7=!^ ~ ~ FlI~~ L, ~ -~f ~ ~ ~r U ~r ~f ~~~°X ~~Se ~r~~ ;7s~ w~~ SUMP PUMP SYSTEM: ~ PASS ~FAIL You have 30'Ltaqs to bri g your system into compliance with current regutations. When you are ready for reinspection, ca11651/644-1469 for appointment. Is there another place where clear water enters the sanitary sewer system? ~ Yes C~' No Where is this location? ~ This area will need to be fixed so the clear water discharges to the storm sewer system. Inspector: .e.~ '~ G= Date: - -2 ~ - 9 ~ Resident: Date: /- .~.? - % 9 Disclaimer: This visual inspection is done with due diligence to find obvious clear water cross-connections and does not im 1 the structure meets all Cit Codes. ~ White: Homeowner YellowZ;; City Pink: HRG ~