HomeMy WebLinkAboutSump Pump Inspection
City of Prior Lake
Sump Pump and III Reduction
Inspection FOi!!!
Name: ~E /';//1./
Date: g,~s:-c; '7 Time:~/'\---a:mF)
Prior Lake, MN 55
First Inspection )g
Own:)fg Rent: 0
Residential: ;g
N on-Residential: 0
Second 0
Age of Home:
~ Address:,LJ39h (;)UIIVC Y Yr 5t;;
o Home came with system 0 Response to inspection program
o Water in basement 0 Previous system failed
ROOF LEADERS: 0 Yes ~ No DISCHARGE: 0 Near 0 Away
YARD DRAINS 0 Yes'Xf No WINDOW WELLS 0 Ye~ No
BEAVER SYSTEM 0 Ye~ No
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? 0 Front 0 Back 0 Side
-~C;iriis~._._._~~.~~.~._-_._~-~-~~:--_._'------_._'-----.-------.-.-----.-.-.-.-...-.-.-.-.---.-.-
---
D.
Phone:
A.
BASEMENT 0 Y es ~No SUMP BASKET il 0 0 1 0 2 0 3 0
WATER IN BASKET 0 Yes 0 No SUMP PUMP goo 1 0 2 0 3 0
WATER IN BASEMENT (flow over floor) 0 Yes~o 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 Other
B.
C.
o Spring
o Winter
X' PASS
SUMP PUMP SYSTEM:
o 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.
Is there another place where clear water enters the sanitary sewer system?
Where is this location?
This area w~to~. ed so fue;: :O.ischarges to the storm sewer system.
Inspector~~<<~ _ Date: ~,2...r..s;. 7
Resident: 11- -- / Date:'
DYes
~No
,
D~. .' ..... ....~r.: This visual inspection is done with due diligence to rmd obvious clear water cross-connections
and':vot imply the structure meets all City Codes.
" " '" "J
White: Homeowner
Yellow: City
Pink: HRG
A.
City of Prior Lake
Sump Pump and III Reduction
Inspection Form ,4pp)/
N31Ile:;ff6'cJ/0 ?A/D.Q"-. DarJ-/&-9J' Time//OOa.m./p.m
. ;,:; C ~ /7 ,(? (? .- First Inspe9ion ~nd 0
Address:~..J /C17 UtGJJC Y 0/ O..c Own: IlJ-'" Rent: a Age ofHome:,tjZ4~5"
L ~ Residential: ~ .J
Prior Lake, MN 55-J 7 ~ Phone?'~ 7-&$;:(; Non-Residential: 0
/'
BASEMENT ~ o~ SUMP BASKET 0 0 ~. 2 0 3 0
WATER IN BASKET ~s' 0 No SUMP P~' 0 0 19'1 0 2 o.J.. 0
WATER IN BASEMENT (flow over floor) 0 Yes I1I.-MO CISTERN 0 Yes g.r;fQ
/
(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
~
C.
Prior to Inspection: t-I 98
When was system installed, or most r~ modified? (Date) /-
o Home came with system ~sponse to inspection program 0 Other
o Water in basement 0 P~s system failed "
ROOF LEADERS: ~es 0 NjY// DISCHARGE: 0 Near ~
YARD DRAINS 0 V~~o WINDOW WELLS ~ No
BEAVER SYSTEM ~;;:. No
PROPERTIES WITH SUMP PUMPS / /
When does pump run? 0 Fall ~ummer EfSp~il!h- 0 Winter
(check all that apply) How often does pump run? FlEAv~AI,J
Where does pump discharge to outside? 0 Front ltY13ack 0 Side
and why
B.
D.
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NOTES:
/'
SUMP PUMP SYSTEM: o-1>'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 ~intment.
Is there another place where clear water enters the sanitary sewer system? 0 Yes clY'No
Where is this location~ C
This area will need ~O)rrlX~,~clear at"scharges to the storm sewer system.
Inspecto~./ (Y'~ ~ Date: ~-/~-99
Resident: r ~ ,1' Date: ~-/~- 99
Disclaimer: This visual inspection is done with due diligence to rmd obvious clear water cross-connections
and does not imply ~ structure meets all City Codes.
'...j
White: Homeowner
Yellow: City
Pink: HRG