HomeMy WebLinkAboutSump Pump Inspection
City of Prior Lake
Sump Pump and III Reduction
Inspection Form
Name: /JJ~ {LE;VI4I1A N
Date: 9....13-9 7
Time:
a.m./p.m.
Prior Lake, MN 55
Phone:
First Inspection or
Own: ~ Rent: 0
Residential: ~
Non-Residential: 0
Second 0
Age of Home:
Address: IJ:;;./ ~ ~ f' e. ~ -r S" .c;.
-
A. BASEMENT 0 Yes )f No SUMP BASKET )( 0 0 1 0 2 0 3 0
WATER IN BASKET 0 Yes 0 No SUMP PUMP If 0 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 ofthis 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
o Yes~ No DISCHARGE: 0 Near 0 Away
o Yes~ No WINDOW WELLS 0 Yes 0 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 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;;:iis~.-~~-~~-~ l~-~-~~i~-----jll-~-~~--------_._-_._-------_._----------.---------.---.---------
---
SUMP PUMP SYSTEM: ')( PASS 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 an appointment.
Is there another place where clear water enters the sanitary sewer system?' 0 Yes )6 No
Where is this location?
This area w~ tonfixed so the ~lear w~ discharges to the storm sewer system.
InspectoLi:;t1~ Date: 'f-/3-9'j
Resident: I If' 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
City of Prior Lake
Sump Pump and III Reduction
Inspection Form A ?~-f.
Name:jV1~ {. Ie nc.{ t\ClVl \ C:,Yl"j J. \);"'V)Y\! Date: 1:-- /0. q'J Time:lI 00 a.m./p.m.
First Inspection ~ Second 0 I J.
Own: a-- Rent: 0 Age of Home:---Lb-
Residential: g-
Non-Residential: 0
Address:
F::JJ2
Prior Lake, MN 55_ 3 7-2
":;,. .~';: ,~' ;r'.,i'-.;,.
Ho pf {+-. ~f
Phone: '-jL/7-t'ltL{
~c. (!to", r
BASEMENT ~es 0 No SUMP BASKET 0 0 134' 0 2 0 3 0
WATER IN BASKET c;;pf es 0 No SUMP PUMP ~ 0 1 0 2 0 3 0
WATER IN BASEMENT (flow over floor) 0 Yes r:tNo CISTERN 0 Y es ~
A.
(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 Outside
o Sanitary sewer
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
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.
C.
ROOF LEADERS:
YARD DRAINS
BEAVER SYSTEM
D.
o Yes ~
o Yes~
DYes li"No
DISCHARGE: 0 Near 0 Away
WINDOW WELLS ~~o
o Winter
NOTES:
----------_._-_._.~._.--------------_._._-----_._----------------.-.-.-.-------------.-.-.---.-.-------------------.---.-.-----.-.-
o Side
Is there another place where clear water enters the sanitary sewer system?
Where is this location?
This area will need to be fixed so the clear water discharges to the storm sewer system.
-
Inspector:' L)~ /2.:.V--y/ '
Resident: ~~~./. hip ,/1/1//"'1 4/: t1f./t
'-../
SUMP PUMP SYSTEM:
~S 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 an appointment.
o Yes
~o
Date: 6 - /0- 9'1
Date: 6" /a- ."
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