HomeMy WebLinkAboutSump Pump Inspection
City of Prior Lake
Sump Pump and III Reduction
Inspection Form
Name:ZVL<-r~A Date8~t,-99 Tim~5t"2a.m~
, ~ 5 First ~ection ~ Second 0
~ Address~()o3 p L.K R.D 5~ Own: ~!e t: 0 Age of Home:
Residential:
Prior Lake, MN 55 Phone: Non-Resid nt 1: 0
:~
A. BASEMENT 0 Yes 'xi No SUMP BASKET ~ 0 0 1 0 2 0 3 0
WATER IN BASKET 6V;s ONo S~~~P Ylfo 0 1 0 2 0 3 0
WATER IN BASEMENT (flow over floor) 0 Yes ~o CISTERN 0 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
o Home came with system 0 Response to inspection program 0 Other
o Water in basement 0 Previous system failed
B. ROOF LEADERS: 0 Yes~o DISCHARGE: 0 Near 0 Away
C. YARD DRAINS 0 Yes ~No WINDOW WELLS 0 Yes 0 No
BEAVER SYSTEM 0 Yes~o
D. PROPERTIES 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
-~c;iriis~--------~'-~~----~-'-'-'-'---'---'-'-'-'-----'-.---.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.---.---.-.-.-.---
\. .
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 651/644-1469 for an appointment.
~NO
DYes
Is there another place where clear water enters the sanitary sewer system?
Where is this location?
This area w~ to Jjfixed so the cl~ar wa~charges to the storm sewer srstem.
Inspecto~( A4.J~ Date: ~'Q?~-99
Resident: - - /' / 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
Name:
City of Prior Lake
Sump Pump and III Reduction
Inspection FOill1
('Y L5~. /iehhiM
,
Address:
--s 00;: 5';'1"-1 "'1 L 11 ~
eo(
Date: ~'" I 'X 4q Time: L/: CO a.m.~
First Inspection ~ Second 0
Own: ~'Rent: 0 Age of Home:
Residential: ~
Non-Residential: 0
Prior Lake, MN 55 ~ 7 Z-
Phone:
A. BASEMENT ~ 0 No /' SUMP BASKET ~ 0 1 0 2 0 3 0
WATER IN BASKET 0 Yes ~o SUMP PUMP 12( 0 0 1 0 2 0 3 0
WATER IN BASEMENT (flow over floor) 0 Yes ~o CISTERN 0 Yes /B'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 0 Other
o Previous system failed
~~s 0 No DISCHARGE: 0 Near ~way
o Yes a/No WINDOW WELLS 0 Yes ~
o Yes ~o
B.
C.
ROOF LEADERS:
YARD DRAINS
BEAVER SYSTEM
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? 0 Front
o Spring
o Winter
o Back
o Side
-------------------------------------------------------------------------------------------------.-.-------------------.-.---------
NOTES:
SUMP PUMP SYSTEM:
-rSS
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.
^-NO
DYes
Is there another place where clear water enters the sanitary sewer system?
Where is this location?
This area will need to b;Ji~d so ~ cl~ar water discharges to the storm sewer system.
Ins~ector: c' - t{~.~ Date: -:! -I? -"77
Resldent:~_.::: '. U ...c\...-L 1/t'~ Date:
.' 'j ..' / /1
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