The URL can be used to link to this page

Home My WebLink AboutSump Pump Inspection~~ PRI~~ City of Prior Lake ~ ~ ~ ~ Sump Pump and I/I Reduction ~ rNNES°`~ Inspection Form ANNUAL CERTIFICATION RE-INSPECTION -c~ Name': 14 ~ ;~ ~ Date: I~~~ Time: am/~a3b Inspection: ^ First ^ Second X -fN-~? ~~ ~ Address: ~~ ~ ~ ~~ ~1- . '~ Own ^ Rent Age of:Hom~: Prior Lake, MN 55372 Phone: 1~ Residential ~ Non-Residential A. BASEMENT ' ~Yes' O No SUMP BASKET ^ 0"~ 1 p 2 p 3 p WATER IN BASKET ^ Yes ~'No SUMP PUMP p0 ,~ 1 p 2 p 3 p WATER IN BASEMENT O Yes ~No CISTERN ~ Yes ,~No , (If no pump, place sticker across edge of sump cover and basement floor so any removal of cover will break seaL I$kip to Part B J ~ Discharge Point p Laundry tub p Sanitary sewer ~ Outsi~le at Inspection: : p Floor drain p Other Prior to Inspeci~on: ` When was systein installed, or most recently modified? (Date) M ~~ I , _ and why? ~ ^ Home came with system ^ Response to inspection program ~ ^ Other p Water in basement ~( Previous system failed B. ROOF LEAD~~RS `p Yes ^ No DISCHARGE ; p Near ^ Away C. YARD DRAINS ^ Yes No WINDOW WELLS O}'es O No BEAVER SYSTEM p Yes ~ No D. PROPERTIES WITH SUMP PUMPS When does pump run? O Fall O Summer O Spring ^ Winter (check all that apply) How often does pump run? Where does pump discharge to outside? ^ Front ~Back / ^ Side NOTES: SUMP PUMP SYSTEM: ~-PASS O FAIL Yoa hune 30 deyS In hriug yaur.tiy.r/e~u inlo compliunce wilh c~irrenl re~du(ion.c. When ym~ ure reudyfnr m•in.~/~eclion, cul/ 9521447-9833,fi~r un nppoin~u~enl. Is there another place where clear water enters the sanitary sewer system? ~ Yes .~Io Where is this location? : This area will need to be fixea so the clear water discharges to the storm sewer system. Inspector: Date: ~ e( Resident: Date: Disclaimer: This visual inspection is done with due diligence to find obvious clear water cross-connections and does not imply the structure meets all City Codes. . ~ ~ t-~~ r) ~ (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: ~ Laundry tub ~ Sanitary sewer utside ~ Floor drain ~ Other Prior to Inspection: When was system installed, or most ~r ently modified? (Date) ` and why ~ Home came with system ~~'`i~ se to inspection program Q Other ~ Water in basement revious system failed B. ROOF LEADERS: ~ Yes ~ No DISCHARGE: O Near ~ Away G YARD DRAINS Q Yes ~ No WINDOW WELLS a Yes ~ No BEAVER SYSTEM ~ Yes ~ No D. PROPERTIES WITH SUMP PUMPS When does pump run? ~ Fall ~ Summer O S ring ~ Winter (check all that apply) How often does pump run? (~'~. ~~r ~ V~here does pump discharge to outside? ~ Front ack ~ Side NOTES: 'lC~~'; i cJi:-.-I ~~.,r~7~ l /ocl ~l/~,.~1-•-~ ~C ----~ -•-• ~ ~ ~ S' i c-~-~ -----•-•-•-•-•-•-•-----•-•- SUMP PUMP SYSTEM: PASS ~ FAIL You have 30 days to bring your system into compliance with current regu[ations. When you are ready for reinspection, ca11651 /644-1469 jor an appointment. Is there another place where clear water enters the sanitary sewer system? ~ Yes ~'~To Where is this location? This area will need to be fixed so the clear water discharges to the storm sewer system. Inspector: ~~~,---~'''~ Date: - Z ~ ~ Resident: ~ . ~ . . ,~ ____ Date: ~ ~l - `I ~i Disclaimer: This visual ' pection is done with due diligence to find obvious clear water cross-connections and does not imnlv the structure meets all Citv Codes. White: Homeowner '. Ye(low: City Pink: HRG A. BAS T ~~ No~~ 5iJMP BASKET ~ 0 ~~ 2 D 3 ~ WA~ BA5KET ~7 Yes t~'No SiJMP PUMP Q 0 Lfi'1 ~ 2 ~ 3 ~ V1~ATER IN BASEMEI~TT (flow over floor) Q Yes C1Pd~ CISTERN O Yes O~#6 ~~~ty::~of Pr~~~r Lake Sump Pump and I/I Reduction Inspection Form ,~,~P ~ ~- ~ ~ ~ ~ ~j a /1~ Name: ~~'~-~'~'~ ,~.~~1/~t./rC ~~ Date;--~'~~" 9~ Tim~:~`d0 a.m./p.m. ,,.•~~ l~ ~ First In,s~~p ion ~Y'Second ~ ,~/ Address:~~'~~O ~~ ~7~~-~ Own: I~ Rent: Age of Home:~ ~y, ,~` Residential: ~ ,,~ Prior Lake, MN 55 ~/~ Phone' ~` ~~`~~~ ~ Non-Residential: ~ A. BASEMENT ~~ No ~/ SiTMP BASKET ~ 0 ~`~-~ 2 ~ 3 ~ WATER IN BASKET I~ Yes ~'No ^ SUMP P~ ~ 0'~'1 ~ 2 ~ 3 ~ WATER IN BASEMENT (flow over floor) ~ Yes ~~ G O CISTERN ~ Yes ~ (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 ~~ I, dry tub D Sanitary sewer (~ Outside at Inspection: loar drain Q Other Prior to Inspection: When was system installed, or most recently modified? (Date) and why ~ Home came with system L~ Response to inspection program D Other ~ Water in basement Q P~v' s system failed B. ROOF LEADERS. "~ ~~`~es ~ No DISCHARGE: O Near I~-~Cwa ~~ Y C. YARD DRAINS ~ Yes L~,N~/ " WINDOW WELLS ~ Yes L~-~To BEAVER SYSTEM ~ Yes L3~'No D. PROPERTIES WITH SUMP PUMPS When does pump run? ~ Fall ~ummer (check all that apply) How often does pump run? V~here does pum discharge to outside? L~ Front .~•-' NOTES:~----------- - -~~~•-~---~~~~~-•-'~ ~prin Winter ~~"A/ ~ ~A> ~ ~ Back ~ Side ~~ ~ ~•-------•-------------•-•-•-•- SUMP PUMP SYSTEM: ~ PASS AIL You have 30 days to bring your system into comp[iance with current regulations. When you are ready for reinspection, ca11651/644-1469 for an intment. Is there another place where clear water enters the sanitary sewer system? Q Yes ~~o Where is this location? ' This area will need to be ed~e clear w~ d' rges to the storm sewer system. Inspector: ~ ~°`'~'`"" ~ - `'"~" Date:._.~ - ~~ ' Resident: s,-~ Date: ~ Disclaimer: This visual inspection is done with due diligence to find obvious clear water cross-connections and does not imply the structure meets all City Codes. White: Homeowner Yellow: City Pink: HRG