HomeMy WebLinkAbout5496 Woodlawn Cir SE~
(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 O Laundry tub C7 Sanitary sewer LS Outside
at Inspection: ~ Floor drain [a Other
Prior to Inspection:
When was systern installed, or most recently modified? (Date) and why
~ Home came with system ~Response to inspection program D Other
D Water in basement ~ Previous system failed
B. ROOF LEADERS: l~' Yes ~ No DI5CHARGE: l~ Near ~ Away
G YARD DRAINS Q Yes l~ No WINDOW WELLS 17 Yes ~ No
BEAVER SYSTEM ~ Yes ~No
D. PROPERTIES WITH SUMP PUMPS
When does pump run? ~ Fall ~ Summer ~ Spring ~ Winter
(check all that apply) How often does pump run?
V~here does pump discharge to outside? ~ Front Back ~ Side
NOTES:
SUMP PUMP SYSTEM: ~PASS ~ FAIL You have 30 days to bring your system into compliance with current
regulations. When you are ready for reinspection, ca[19~11MYPfor an appointment.
Is there another place where clear water enters the sanitary sewer system? ~ Yes L~` No
Where is this location?
This area will need to be ~xed•so the clear water discharges to the storm sewer system.
Inspector: Date: `~ ~
~Resident: ~ .,• ,,.,_..~.- Date: -~ ,,f ,~''"
Disclaimer: This visu inspection is done with due diligence to find obvious clear water cross-connections
and does not imnlv the structure meets all City Codes.
White: Homeowner Yellow: City "'~~i4Ci"''
A. BASEMENT [Sa`Yes ~No SiJMP BASKET ~ 0 ~ ~ 2 ~ 3 O
WATER IN BASKET 19'Yes a No SUMP PUMP ~ 0 ~ Q 2 ~ 3 a
WATER IN BA5EMENT (flow over floor) ~ Yes d No CISTERN ~ Yes 19~To
, `.~ , . •
2SC
A. BASEMENT ,~ Yes a fiio 5iJMP BASKET ~ 0 j~ 1~ 2 ~ 3 ~
WATER IN BASKET ~ Yes y~ No SUMP PIJMP ~ 0~ 1 a 2 Q 3 ~
WATER IN BASEMENT (flow over floor) ~ 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. Skip to Part B of this form.)
Discharge Point ~ Laundry tub ~ Sanitary sewer ~ Outside
at Inspection: ~ Floor drain ~ Other ~
Prior to Inspection:
When was system installed, or most recently modified? (Date) and why
~ Home came with system ~ Response to inspection program ~ Other
~ Water in basement ~ Previous system failed
B. ROOF LEADER5: ~ Yes ~ No DISCHARGE: ~ Near J~ Away
C. YARD DRAIN5 ~ Yes ~ No WINDOW WELLS ~ Yes~ No
BEAVER SYSTEM ~ Yes D No
~~ ~
D. PROPERTIES WITH SUMP PUMPS
When does pump run? ~ Fall ~ Summer l7 Spring O Winter
(check all that apply) How often does pump run?
Where does pump discharge to outside? ~ Front ~ Back O Side
NOTES:
SUMP PUMP SYSTEM: ~ PASS Q FAIL You have 30 days to bring your system into compliance with current
regulations. When you are ready far reinspection, ca[l 651 /644-1469 for an appointment.
Is there another place where clear water enters the sanitary sewer system? f~ Yes ~ No
Where is this location?
This area will need to be ~xed so the clear water discharges to the storm sewer system.
Inspector: ~ Date: 6- 2- 9 9 I
Resident: //,G,,, A}'~~z~L,I p.,,,,,,r,P Date: („~ Z. -~ ~
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.
~ ~` ~ .z ~~ ~, ~ : ~~
White: Homeowner Yellow: City Pink: HRG
.,~ . . ..
~, .. ~
r...!' ~,:~~ ' Y .. :_E ,.
ti ~~
~~~ ~~~ ~ity ~ ~ of Pri~~r Lake
Sump Pump and I/I Reduction
Insuection Form
1
Name:,~i.~~ / 1C~, ~~ ~~ ~
~~~~
Address: ~'c`/~ Uv~O~.LR~c1 ~c/ t...~/,C,
Prior Lake, MN SS~~Z Phone~~~ ~~Z3
~' ''' C~q
Dat~~ ~ ~ ~../ Time:~~~~a.m./p.m.
First In~s~ ~ec n ~''~Second ~ ~y
Own: I~'" Rent: ~ Age of Home:~ /
Residential: ~--''~ ~
Non-Residential: ~
A. BASEMENT t~'Yes~~~ SUMP BASKET ~ 0 L~~ 2~ 3 ~
WATER IN BASKET es ~ No SUMP P~~ ~ 0 ~~ 1~ 2 ~ 3
WATER IN BASEMENT (flow over floor) ~ Yes ~~iQo 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.) ,~,~AIP.oE~! }~SE T ~~~,
Discharge Point I~ Laundry tub ~ Sanitary sewer lJ~Outside
at Inspection: ~ Floor drain ~ Other
Prior to Inspection:
When w stem installed, or most recently modified? (Date) and why
HL~~~ame with system ~ Response to inspection program ~ Other
O Water in basement ~ Pr ious system failed
~ I HARGE: Q Near Aw °
B. ROOF LEADERS: Yes ~ No D SC
C. YARD DRAINS Q Yes WINDOW WELLS es ~ No
BEAVER SYSTEM ~ Yes ~V~
D. PROPERTIES WITH SUMP PUMPS
When does pump run? ~ Fall Summer Spri ,g C~ Winter
(check all that apply) How often does pump run? C E ~1 ~
~
V~here does pump discharge to outside? ~ Front ack ~ Side
NOTES: ~-- Q tI E~E ~LO [.J -•~On'1 •- Gt~ IgSN~I ti/S f9~ /-1 CH ~~-.1 C, --•-•-•-•-•-------•-•---•-•---•-•-
-7~ /3~S,~[ -~ / C O ~',~S ~DC
SUMP PUMP SYSTEM: ~ PASS ~'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 ap ent.
Is there another place where clear water enters the sanitary sewer system? ~ Yes L~#''"[~io
Where is this location?
This area will need~~~ so the cl w~r discharges to :the storm sewer system. `
Inspector:
Resident
Date: ~"~~ "
Date: ~~
Disclaimer: This visual inspection is done with due diligence to find obvious clear water cross-connections
and does not impl_y the structure meets all City Codes.
~ ~° ~ ,~ ,
~ ~ ~, ~
~~ ~ "~ ~ ~~~'~
White: Homeowner Yellow: City Pink: HRG .