HomeMy WebLinkAboutSump Pump Inspection
City of Prior Lake
Sump Pump and III Reduction
Inspection FOi!!! I/-f
/T00 .
I I
Name: ~Yr/'pr I Dt'Vlni: +- /(C1YP""
Date: 6- f"- 79 Time: / J)O a.m./p.m.
First Inspection ~ Second 0
Address: J t ~ C>..1.. I N&c-, ItJPo/'J1f j}""t. (Ill )~wn: 13"" Rent: 0 Age of Home: 71
Residential: g.-
Prior Lake, MN 55.J 72 Phone: '197- 6 t)/ ~ Non-Residential: 0
VI' lit 01 '" .,
BASEMENT 9'1'es 0 No
WATER IN BASKET 0 Yes 0 No
WATER IN BASEMENT (flow over floor)
A.
SUMP BASKET 13'0 0 1 0 2 0 3 0
SUMP PUMP ~ 0 1 0 2 0 3 0
DYes !?No CISTERN 0 Yes 9-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
o Home came with system
o Water in basement
PROPERTIES WITH SUMP PUMPS
When does pump run? 0 Fall 0 Summer 0 Spring
(check all that apply) How often does pump run?
Where does pump discharge to outside? 0 Front 0 Back
B.
C.
ROOF LEADERS:
YARD DRAINS
BEAVER SYSTEM
D.
NOTES:
SUMP PUMP SYSTEM:
o Response to inspection program
o Previous system failed
o Other
DYes er-No
DYes B'No
DYes Id-""N" 0
DISCHARGE: 0 Near 0 Away
WINDOW WELLS 0 Yes ~o
o Winter
o Side
t:r'P ASS 0 FAIL You have 30 days to bring your system into compliance with current
regulations. When you are ready for reinspection. cau651/644-1469 for an appointment.
C3-No
Is there another place where clear water enters the sanitary sewer system? 0 Yes
Where is this location?
This area will need to be fixed so the clear water discharges to the storm sewer system.
.
V~/;'<A/~--'-~ __
\:... C1; ~~~
\
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.
Inspector:
Resident:
White: Homeowner
Date: _ S:-?- 7'9-
Date: .?"- ? - 9 '1
Yellow: City
Pink: HRG
o
,'-1" ...._.,.:t.
City of Prior Lake
Sump Pump and III Reduction
Inspection Form
Name: f.G. ~ I!. J E. R...
Date: q-;;1t> 49 Time:~.m.
J /,-...... ~.,>pirst Inspection a
Address: I t::J500l :L..lJi.ir:kAi)orVA &rJkl.l0te Own:)Q Rent: 0
Residential: ri.
Prior Lake, MN 55 Phone: Non-Residential: 0
Second 0
Age of Home:
A.
BASEMENT 0 Yes ~ No
WATER IN BASKET 0 Yes 0 No
WATER IN BASEMENT (flow over floor)
SUMP BASKET ~ 0 0 1 0 2 0 3 0
SUMPPUMP 'i/{o 0 1 0 2 0 3 0
DYes ')(No CISTERN 0 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 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
o Home came with system
o Water in basement
o Response to inspection program
o Previous system failed
o Other
B.
C.
ROOF LEADERS:
YARD DRAINS
BEAVER SYSTEM
o Yes ~No
o Yes)l No
o Yes)( No
DISCHARGE: 0 Near 0 Away
WINDOW WELLS 0 Yes 0 No
D. PROPERuJ!,S WITH SUMP PUMPS
When does pump run? 0 Fall 0 Summer 0 Spring 0 Winter
(check all that apply) How often does pump run?
Where does pump discharge to outside? 0 Front 0 Back 0 Side
-NOTES~'-'--,f;:;i;."I-'-X4-'-'-';;S:~:;-'-'-;"i)-'-i:;:--'-{P~~-'C;-;-~-~')"-'-'-'-'-'-'-'-'-'-'-'-'-'-
SUMP PUMP SYSTEM:
~ PASS
o FAIL You have 30 days to bring your system into compliance with current
regulations. When you are ready for reinspection. call 6511644-1469 for an appointment.
~ No
DYes
Is there another place where clear water enters the sanitary sewer system?
Where is this location?
This area wi e J be ~d so the clear water
~
arges to the storm sewer system.
Date: <::i'-- t?l 0 -4' /
Date: '
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