HomeMy WebLinkAboutSump Pump Inspection
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City of Prior Lake
Sump Pump and III Reduction
Inspection Form
Name: ~ A }.. 5" IN Dare:C{;;Z t ~ q 'LTime: /" a.m./€
~ , IJ7 ~ r 7(1.. >e First ~~ection)d Second 0
Address: 771 /d rJ4 1,'<!J-AwN ..J1/oeE5 Own:~ Rent: 0 Age of Home:
Residential: ~
Prior Lake, MN 55 Phone: Non-Residential: 0
A.
BASEMENT aYes ~o
WATER IN BASKET a Yes a No
WATER IN BASEMENT (flow over floor)
SUMP BASKET )(0 a 1 a 2 a 3 a
SUMP PUMP 'it. 0 a 1 0 2 a 3 0
a Yes )("NO CISTERN a Yes a 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:
a Laundry tub
a Floor drain
a Sanitary sewer
a Other
a Outside
Prior to Inspection:
When was system installed, or most recently modified? (Date)
and why
a Home came with system a Response to inspection program
a Water in basement a Previous system failed
ROOF LEADERS: a Yes);(No DISCHARGE: a Near a Away
Y~RD DRAINS a yes)O No WINDOW WELLS a Yes a No
BEAVER SYSTEM a YesR No
PROPERTIES WITH SUMP PUMPS
When does pump run? a Fall a Summer
(check all that apply) How often does pump run?
-NOTES~~~~1iJ~c~:~ez;!fJ{-:di:~' ~._':;;~k_._._._._~._s~~~_._._._._._._._._._._
a Other
B.
C.
D.
a Spring
a Winter
SUMP PUMP SYSTEM:
)t-P ASS
a FAIL You have 30 days to bring your system into compliance with current
regulations. When you are ready for reinspection, call 651/644-1469 for an appointment.
~NO
o Yes
Is there another place where clear water enters the sanitary sewer system?
Where is this location?
This area wil~ to ~ fixed so the clear w~discharges to the storm sewer system. .
Inspector{ L.J-(!./ ~ ~ \"_ J Date: '!:.... ~ 1-9 7
Resident: ~ - tf/ 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
A.
City of Prior Lake
Sump Pump and III Reduction
Inspection FOIII! N/J,o/;
Name:J)/:J,6$IA! ZJjQA//E'~ DatJ-/o-99Tim~a?oa.m.lp.m.
/ 71 SE'
r~ryo J-::: e .~. _--YirstInsp~on ~ond 0
Address: V v /0 r IQ I/::-<-/W..<JA! (jA/CJCC;:)Own: 19" Rent:;J Age of Home) c;t, e S
3 'Y-? . / t /, , // Residential: c:v' ~
Prior Lake, MN 55 //V' Phoneo/~ 7/67~8 Non-Residential: 0
/-,.~('" / - /'
~t-Vv~.<....../ ~
BASEMENT o-1'"es 0 SUMP BASKET 0 0 1 0 2~3
WATER IN BASKET ~ONO SUMPP 001 020 0
WATER IN BASEMENT (flow over floor) 0 Yes ~ CISTERN 0 Yes 0
(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 Ins ection:
When system installed, or most recently modified? (Date)
and why
B.
C.
Home came with system 0 Response to inspection program 0 Other
o Water in basemeO ,-(\"'8. pr#s sysrem failed ./
ROOF LEADERS: 1 p.~ a:<es 0 N}' DISCHARGE: O'Near 0 Away
YARD DRAINS 0 Yes~~ WINDOW WELLS 0 Yes~
BEAVER SYSTEM 0 Yes Q"No
D.
PROPER I u.S ~ lilt SUMP PUMPS
When does pump run? 0 Fall 0 Summer 0 S~
(check all that apply) How often does pump run?
Where does pump discharge to outside? 0 Front 0 Back
o Winter
o Side
NOTES:
~
SUMP PUMP SYSTEM: cYt>Ass 0 FAIL You have 30 days to bring your system into compliance with current
regulations. When you are ready for reinspection, call 651/644-1469 for an~ment.
Is there another place where clear water enters the sanitary sewer system? 0 Yes ~o
Where is this location?
This area will n.e.ed to~.. e~he~lear at~discharges to the storm sewer sys~em. .
Inspector:~' W~<..Y; - Date:-3-/0-YY
Resident: ~ k1-~P'~ f .. cff~ Date: ~ -10- 9''3'
/
Disclaimer: This visual inspection is done with due diligence to fmd obvious clear water cross-connections
and does not imply the structure meets all City Codes.
White: Homeowner
Yellow: City
Pink: HRG