HomeMy WebLinkAboutSump Pump Inspection
~85934~30
City of Prior Lake
Sump Pump and III Reduction
Inspection FOIII!
Name:&H"'Sjq Ck llLR.oy Jt/::Jj?f)yDate: 8'-]1--7) Time: ~ a.m.G:"m.:
/1 r / 'I ""'"^ (,\ JV. J '\ First ~pection.b( Second 0
Address: J all I )~ AJt:.E nV f- U-J Own: Rent:r. Age of Home:
Residen ial~
Prior Lake, MN 55 Phone: Non-ResidentIal: 0
'''.
A.
BASEMENT LJ Yes )(No SUMP BASKET ~ 0 LJ 1 LJ 2 LJ 3 LJ
WAIJ:!,R IN BASKET LJ Yes LJ No SUMP PUMP ''f( 0 LJ 1 0 2 0 3 0
WAIJ:!,R IN BASEMENT (flow over floor) 0 Yes LJ No CISTERN LJ Yes 0 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
at Inspection:
o Laundry tub
o Floor drain
o Sanitary sewer
o Other
o Outside
Prior to Inspection:
When was system installed, or most recently modified? (Date)
and why
B.
C.
ROOF LEADERS:
YARD DRAINS
BEAVER SYSTEM
LJ Response to inspection program LJ Other
o Previous system failed
o yes)( No DISCHARGE: LJ Near LJ Away
o Yes ac No WINDOW WELLS 0 Yes 0 No
o Yes)('No
LJ Home came with system
o Water in basement
D. PROPERTIES WITH SUMP PUMPS
When does pump run? 0 Fall LJ Summer 0 Spring LJ Winter
(check all that apply) How often does pump run?
Where does pump discharge to outside? LJ Front 0 Back 0 Side
-NOTES~._._._'VJfijt~_._H.)=D'_.=-.-'Ro.~.~.e'-~~.-.O~.E'-.-PA~~~-._._._'-'-'_._.-
SUMP PUMP SYSTEM: (PASS 0 FAIL Youhave30daystobringyoursystemintocompliancewithcurrent
regulations. When you are ready for reinspection, ca1l651/644-14\~r an appointment.
Is there another place where clear water enters the sanitary sewer system? 0 Yes ~ No
Where is this location?
This area w~d to <~ fixed so the clear ~r discharges to the storm sewer system.
Inspectdc.: I::::}-& ~~_ _.~) Date: 2=.31-9]'
Resident: V Date:
Disclaimer: This visual inspection is done with due diligence to rmd obvious clear water cross-connections
and does not imply the structure meets all City Codes.
White: Homeowner
Yellow: City
Pink: HRG
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City of Prior Lake
Sump Pump and III Reduction
Inspection FOilll ~Pl')/
Name:_lJOI-/J../Sl;cA!. iERo 'I Date./~,,2S-99 Time;bZ3a.m./p.m.
/
) r/ / 'iI I, J First InsD~n ~nd 0 J !J
Address: /VCt7/ \L/,I},E)K.c:";:;;v Alw, Own: t:f" Rent:.7 Age of Home:"tVt.re>
" ~ /J /, Residential: Q"'" J
Prior Lake, MN 55 v7'v Phone:y?,1'Y"60,.e; Non-Residential: 0
/ -.1 1 -... I /. ~
/'v'V"'\/ c;../C- '--./ ~ ~
BASEMENT ~ es LJ No SUMP BASKET LJ 1 LJ 2 0 3 LJ
WATER IN BASKET LJ Yes 0 SUMP PUJdP 0 0 1 0 2 LJ J.- 0
WATER IN BASEMENT (flow over floor) LJ Yes ~o CISTERN LJ Yes ItJ..iq'Q
A.
(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:
o Laundry tub
o Floor drain
o Sanitary sewer 0 Outside
o Other -
Prior to Inspection:
When was system installed, or most recently modified? (Date)
--
and why
B.
C.
o Home came with system 0 Response to inspection program 0 Other
o Water in basement ~e~ystem failed
ROOF LEADERS: ~ e;1' Pr ~ LI No./ DISCHARGE: LI Near ~y .
YARD DRAINS LJ Yes ~~ WINDOW WELLS LJ Yes ~
BEAVER SYSTEM LJ Yes ~
..
D.
PROPERTIES WITH SUMP PUMPS
When does pump run? 0 Fall 0 Summer
(check all that apply) How often does pump run?
Where does pump discharge to outside? LJ Front
LJBack
LJ Side
o Spring
,..--
o Winter
NOTES:
/'
SUMP PUMP SYSTEM: ~SS 0 PAIL You have 30 days to bring your system into compliance with current
regulations. When you are ready for reinspection, call 651/644-1469 for ~ent.
Is there another place where clear water enters the sanitary sewer system? 0 Yes ff'No
Where is this location?
This area will need to ~xe~the cle?~r discharges to the storm sewer system.
Inspector:__~/' V~~ Date: 2-.20'-19
Resident: ~ 0'/ //JfJ / 'T~rf/I '/{/}~)4/ /':~ / Date: .....z -.;Z S - ') 9
Disclaimer: This visual inspection is done with due diligence to rmd obvious clear water cross-connections
and does not imply the structure meets all City Codes.
___"~~___=,............_____..~,_,..........._..___..w,,~~.",,,..,,-.,," .".M......._......-...~....~_.....,.."....."~~.~,"...'"..,.,'.'".,,._,~"~.,"'..."'.,.'W.".__...,"-""',__,, .......",_.,_..""."..c~..~_.............," "-,~.'~-'-
White: Homeowner
Yellow: City
Pink: HRG