HomeMy WebLinkAboutSump Pump Inspection
City of Prior Lake
Sump Pump and III Reduction
Inspection FOIII!
Name: RAm SEV,. Jot-IN 734. Ir<15 Date:g'-;?7-9 if Time: ~t)a.t@
Address/5 q 7~ 5u,v~1 J"H
~
First Inspection M.
Own:1( ~t: 0
Residentlal~
Non-Residential: 0
Second 0
Age of Home:
Prior Lake, MN 55
Phone:
A. BASEMENT a Yes ~o SUMP BASKET )( 0 a 1 a 2 a 3 a
WATER IN BASKET aYes aNo SUMPPUMP ~o a 1 a ,-g3 a
~ATER IN BASEMENT (flow over floor) a Yes ~o CISTERN a Yes ~o
',-
(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 Water in basement
a Response to inspection program
LJ Previous system failed
a Other
B.
C.
ROOF LEADERS:
YARD DRAINS
BEAVER SYSTEM
No
DISCHARGE: a Near 0 Away
WINDOW WELLS a Yes 0 No
a
o
No
No
D.
PROPERTIES WITH SUMP PUMPS
When does pump run? a Fall a Summer 0 Spring
(check all that apply) How often does pump run?
Where does pump discharge to outside? 0 Front 0 Back
a Winter
o Side
-~();riis~'-'-~!;:;:'-~~~~'~~-'~~~'-~-'-'-'-'-'-'-'-'-'-'-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-
1/;'q7~-i9 5'UA/~/JH -r:e !/LVk4-;if~'
SUMP PUMP SYSTEM: 'PI:.. PASS 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 appointment.
Is there another place where clear water enters the sanitary sewer system? 0 Yes )(NO
Where is this location?
This area w~ tOlJ1 fixed so thj clear ~ discharges to the storm sewer system.
Inspector:-~~~ ~ Date: ij'...;:J7-'1y
Resident: '- 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
~ 6 k()
~~tt
City of Prior Lake
Sump Pump and III Reduction
Inspection FOllll
Name: f?; L L ,,(jC~II1,
If.VlVI' +~j/'
,.J
Date: J1- (]- r9Time: /600a.m./p.m.
Address: / I:"1 7b S", V1{;.l h T (I. (13
Prior Lake, MN 55 J7.2 Phone: ,J..J6- IY;:n
First Inspection B" Second 0 '/
Own: 0 Rent: g.-- Age of Home: .
Residential: 0--
Non-Residential: 0
,
A. BASEMENT 0 Yes ~ SUMP BASKET ~ 0 1 0 2 0 3 0
WATER IN BASKET LJ Yes CJ1IfO' SUMP PUMP Cl-'O LJ 1 LJ 2 LJ 3 LJ
WATER IN BASEMENT (flow over floor) 0 Yes GJ.No CISTERN 0 Yes D-Ntr
(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 0 Other
o Previous system failed
o Yes ~ DISCHARGE: 0 Near 0 Away
B.
C.
ROOF LEADERS:
YARD DRAINS
BEAVER SYSTEM
o Yes l3'"1'fo
o Yes (]...No
WINDOW WELLS 0 Yes~'
D.
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
o Winter
o Side
-~();riis~.-15~+~-.-~'~~._.-7:.;f;-'-;;-;:j;~~~'-'~;'-.j.j1t(-'-';;-;'f;:j'-::i--'/,r~-7'~.-'-._'-'-'-'-'-
~.h,. .\.. ::t:rr.f t=:r-~ - OWntr.s . ~...a b ,')'\ .
SUMP PUMP SYSTEM: !3"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 an appointment.
Is there another place where clear water enters the sanitary sewer system? 0 Yes Q-1QO
Where is this location?
This area will naM-.to be fixed so the clear water discharges to the storm sewer system.
-"'---1" ". /1
Inspector: //..-cL /1...v('"\.~ Date: p'-/] ~ '9?
Resident: ~.~.A ~~JI t7t . Date: f' - /]- 9'9
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