HomeMy WebLinkAboutSump Pump Inspection
~
Name: {!OrJ:mtJN, m/)121<
,
City of Prior Lake
Sump Pump and III Reduction
Inspection Form
~-
Prior Lake, MN 55
Phone:
Date: <6-~5'97 Timeol32-a.m.€)
First I~ection ~ Second 0
Own: ~ Rent: 0 Age of Home:
Residential :~
Non-Residential: 0
'~ Address:. /5'tj 01 SU/'I'::- / S JI-/ --r It.. L-
A.
BASEMENT 0 Yes ')l No SUMP BASKET 1t 0 0 1 0 2 0 3 0
WATER IN BASKET OYes ONo SUMP~P r)l/ 0 0 1 0 2 0 3 0
WATER IN BASEMENT (flow over floor) 0 Yes >\. 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
0 Home came with system 0
.. 0 Water in basement 0
~.~ B. ROOF LEADERS: 0
C. YARD DRAINS 0
BEAVER SYSTEM 0
Response to inspection program 0 Other
Previous system failed
Yes ~ No DISCHARGE: 0 Near 0 Away
YesJ( No WINDOW WELLS 0 Yes 0 No
Yes'~ No
D. PROPERu~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
_._._._o_o_o_._._._._o-\~~._._._._._._o_o_o_._._.-Z- _._._0_._0_0_0_0_.-.-._._._0_0_._._.-.-.-._._._0_._._0_._._._o~._._._._._._._
NOTES: !I ,4e 4 N --r-"" 0 ;r-
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 will n~ to be,Axed so the clear water discharges to the storm sewer system.
Inspector: c..J-t //4..a~~- s:J Date: g-.; s- - 'J <;
Resident: 1\./ C*' 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. J
White: Homeowner
Yellow: City
Pink: HRG
City of Prior Lake
Sump Pump and III Reduction
Inspection Form
Name: Co f -( /o'Vlc "". Iv"! c v k Date: '/23 . 7'7 Time: /If,;o a.m./p.m.
Address: I ';-'1)1 .~4f/$h '1Y/l ~E
Prior Lake, MN 55. J 7 2
Phone: Lf'l7- t / P ()
A.
iV,-^,.-J /-. .
BASEMENT l3"Yes 0 No
WATER IN BASKET o Yes ONo
WAl~R IN BASEMENT (flow over floor)
SUMP BASKET ~ 0 1 0 2 0 3 0
SUMP PUMP . 13" 0 0 1 0 2 0 3 0
o Yes B'No CISTERN 0 Yes e-No
First Inspection ~ Second 0
Own: 13"'" Rent: 0 Age of Home: J 'l
Residential: 13"
Non-Residential: 0
(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)
o Home came with system
o Water in basement
and why
o Response to inspection program
o Previous system failed
o Other
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.
o Yes EY""N 0
o Yes l3"No
o Yes a"No
/'"'...- C.
./"
ROOF LEADERS:
YARD DRAINS
BEAVER SYSTEM
D.
DISCHARGE: 0 Near 0 Away
WINDOW WELLS 0 Yes 0 No
o Winter
NOTES:
-.-.---.-----------.-.-.-.-.---.---------.-.-.-.-----------------------------------------------------------------------------------
o Side
SUMP PUMP SYSTEM:
~ASS
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? 0 Yes ~ 0
Where is this location?
This area will need to be fixed so the clear water discharges to the storm sewer system.
Inspector: ---;);} VvJ ~ . Date: 1..-/. 2} -9 '/
Resident: ~. ~~ Date: '-/- 2)- 99
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