HomeMy WebLinkAboutSump Pump Inspection
City of Prior Lake
Sump Pump and III Reduction
Inspection Form
Name:-ble. -rt Ie. . /YJ e .
I
Prior Lake, MN 55
Phone:
Date:f ,,1~ime: q,ljla.~
First!ection ld' Second 0
Own' inra Age of Home:
Resident 1:
Non-Residen ial: 0
~~Address: ~()6? S~..e/N'f. LI< Rp
'-""" "~
A. BASEMENT 0 Yes ~o SUMP BASKET )( 0 0 1 0 2 0 3 0
WATER IN BASKET o Yes ONo SUMPPUMP go 0 1 0 2 0 3 0
WATER IN BASEMENT (flow over floor) 0 Yes ~NO 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
B.
C.
o Home came with system 0 Response to inspection program 0 Other
o Water in basement 0 Previous system failed
ROOF LEADERS: 0 Yes ~No DISCHARGE: 0 Near 0 Away
YARD DRAINS 0 Yes1x'No WINDOW WELLS 0 Yes 0 No
BEAVER SYSTEM 0 Yes ~NO
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
D.
-----'-'-'_._----.~- ._.-;r.::--------_._-----~-------_._----------'-------------.-.-.-----------.-------------------.-.-------.-.-
NOTES: ",( ~TC.-
....
SUMP PUMP SYSTEM: ').:J PASS 0 FAIL You have 30 days to bring your system into compliance with current
1":.. 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 (..A No
Where is this location? /\.. L...I'
This area w' to yPxed so the c~r wa~scharges to the storm sewer system.
Inspecto . . '". Date: .x~ -7'7'
Resident: V 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
00
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City of Prior Lake
Sump Pump and III Reduction
Inspection Form ,.47;0,0/7
Name:0~e~~ J1/Ci-ijC),cL Date~6-99 Time)63Q.m./p.m.
- ~tJ
....s . {I / // First Insp~on ~cond 0 / I ~
Address:~Ob3 vpe/,,(/~ A...-;:;;U::E~.o Own: g/' Rent: D. Age ofHome:YN''f~~5
-?/ " J /, L J L. Residential: ~ -J
Prior Lake, MN 55 v m Phone':7'''iV.Af950 Non-Residential: 0
..-
A. BASEMENT ~ 0 No /' SUMP BASKET ~ 1 0 2 0 3 0
WATER IN BASKET o Yes 000 SUMPP~ ~O 1 0 2 03- 0
WATER IN BASEMENT (flow over floor) 0 Y es ~o CISTERN 0 Yes 8'1'fo
(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 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 P~ous system failed
8"Yes 0 Ny~ DISCHARGE: ~r 0 Away
o Yes ~Jjd WINDOW WELLS 0 Yes Q-NO-
o Yes ~No
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 0 Winter
----
o Back 0 Side
-.---------------------------------------------------------------------------------------------------------------------------------
NOTES:
/
SUMP PUMP SYSTEM: ~SS 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 B"No
Where is this locationc
This area will need t~ fi~ the cle~a~ischarges to the storm sewer systeJI. .
Inspector: -e5J . ~-:/'1Ci...c.~'/ Date: ~_-h -7::7
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