HomeMy WebLinkAboutSump Pump Inspection
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City of Prior Lake
Sump Pump and III Reduction
Inspection Form
Name: J... e.O rJ A~O
Date: 9-1 S -<:7) Time:
a.m./p.m.
Prior Lake, MN 55
Phone:
First Inspection ~
Own::;il Rent: 0
Residential: P'
N on-Residential: 0
Second 0
Age of Home:
Address: 5";;< 3 0
HOPE- S-r
A. BASEMENT 0 Yes -,( No SUMP BASKET )i 0 0 1 0 2 0 3 0
WAIJ!,K IN BASKET 0 Yes 0 No SUM! lUMP .. 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
o Home came with system
o Water in basement
o Response to inspection program
o Previous system failed
o Other
ROOF LEADERS: 0 Yes It. No
YARD DRAINS 0 YeS~NO
BEAVER SYSTEM 0 Yes ll\ No
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 0 Side
-NOTES~._. .... I JQL;;_._.-?\-.~-~._.~_._.t'-~'A-Z;;-'-.lJ~-:"~'-'_._'-'-'-.-.-.-.-.-.-.-.-.-.-.-.-
. !=i r-,;:- - - __
B.
DISCHARGE: 0 Near 0 Away
C.
WINDOW WELLS
o Yes 0 No
D.
o Winter
SUMP PUMP SYSTEM:
'ltl 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.
Is there another place where clear water enters the sanitary sewer system? 0 Yes 'f<! No
Where is this location?
This area ~d to)f. fixed so the rlear wat~charges to the storm sewer system.
Inspect4-+- ( ./t..d., ~~ ~J Date: '7'- I S-- c; <i
Resident: U 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.
White: Homeowner
Yellow: City
Pink: HRG
City of Prior Lake
Sump Pump and III Reduction
Inspection Form
Name: ).. IE.. DN A ~ 7\
Date: tf-fS-:"'c;. t::; Time:
a.m.lp.m.
Address: 5~ 30 HopE:.
5, s ~
First Inspection ~
Own: 'gJ Rent: 0
Residential: i)'
Non-Residential: 0
Second 0
Age of Home:
Prior Lake, MN 55
Phone:
A. BASEMENT 0 Yes )I No SUMP BASKET M' 0 0 1 0 2 0 3 0
WATER IN BASKET 0 Yes 0 No SUMP PUMP 12! 0 0 1 0 2 0 3 0
WATER IN BASEMENT (flow over floor) 0 Yes )N....No CISTERN 0 Yes)gl 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
o Home came with system
o Water in basement
o Response to inspection program 0 Other
o Previous system failed
o Yes ~o DISCHARGE: 0 Near 0 Away
o Yes LX'No WINDOW WELLS 0 Yes 0 No
o Yes ~No
B.
C.
ROOF LEADERS:
YARD DRAINS
BEAVER SYSTEM
D. PROPERTIES "'1111 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
-NOTES~'-'-'-~'~'~'~'-~ ~~~_._.~.~-~~._._._._._._._._._._._._._._._._._._._._.-.-.-.-.-.-.-.-.-
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.
Is there another place where clear water enters the sanitary sewer system?
Where is this location?
This area wil~ to be)ifed so the clear water di~es to the storm sewer system.
Inspector:~ '/~A.>Z Date: 7"-/5"""-7')
Resident: / Date:'
DYes
~No
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
,. }:~C' ,:,.;,.,:,"t'~.'~'flrf.:(~~...::.{:~';t"- "
;;{"'~ ,-Voi\:
, .
.'.' \0
City .of Prior Lake
Sump Pump and III Reduction
Inspection Form
Name: LE OI'lAR7'J) Ge.4/V~ ()~
.~ Address~30 .//oP€. <;' r
Date:..8~ S-9'5 Time:J'l/S- a.m.~
Prior Lake, MN 55
Phone:
First Inspection ~
Own: ~ Rent: 0
Residential: ~
Non-Residential: 0
Second 0
Age of Home:
A.
BASEMENT 0 Yes 'SlNo
WATER IN BASKET o Yes ONo
WATER IN BASEMENT (flow over floor)
SUMP BASKET if 0 0 1 0 2 0 3 0
SUMP PUMP 9" 0 0 1 0 2 0 3 0
o 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
o Home came with system
o Water in basement
o Response to inspection program
o Previous system failed
o Other
B.
C.
ROOF LEADERS:
YARD DRAINS
BEAVER SYSTEM
o Yes~ No
o Yes t!f No
o Yes~ No
DISCHARGE: 0 Near 0 Away
WINDOW WELLS 0 Yes 0 No
D. PROPERl1J!.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
-N()1riis~'-'-~~'1:>j~~-'-'-l::()~'-'-'-'-'-'-'-'-'-'-'-'-'-'-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-
SUMP PUMP SYSTEM: "!J.. 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 ~ No
Where is this location?
This area will need to he fixed so the clear water discharges to the storm sewer system.
~ /) 0
Inspector:WW.JA~ -.... Date: ~-ds--9,'
Resident: ~ 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.
White: Homeowner Yellow: City
Pink: HRG
City of Prior Lake
Sump Pump and III Reduction
Inspection Form
Name: / ~ ?i"1 ..,/J I 0ve;...... 1-
, .
Address: [2 J 0 fltl'Pt"
,
(I-. .rE
Date: b' q, '19 Time: /) 0 () a.m.lp.m.
First Inspection ~ Second 0
Own: ~ Rent: 0 Age of Home: F
Residential: c:J.-
Non-Residential: 0
Prior Lake, MN 55 )7;1.
Phone: !l/7- Jb..J ~
A.
"""...(tJ~-r
BASEMENT e-Yes 0 No
WATER IN BASKET C).)fes 0 No
WATER IN BASEMENT (flow over floor)
SUMP BASKET 0 0 ~ 0 2 0 3 0
SUMP PUMP 0 0 ~l 0 2 0 3 0
o Yes /3"No CISTERN 0 Yes ~o
(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
~tside
Prior to Inspection: d
When was system installed, or most recently modified? (Date) / - 2 .....u.... # / ~ and why
o Home came with system ~sponse to inspection program 0 Other
o Water in basement 0 Previous system failed
B. ROOF LEADERS: ~s 0 No DISCHARGE: Ct"1fear 0 Away
C.
YARD DRAINS
BEAVER SYSTEM
o Yes e:r-No
o Yes c:J.-1q' 0
WINDOW WELLS 0 Yes ~
D. PROPERnJ!,S WITH SUMP PUMPS
When does pump run? 0 Fall e-5ummer ~pring 0 Winter
(check all that apply) How often does pump run? de-, v ,"\( )/-" ""v f'c ,........:
Where does pump discharge to outside? 0 Front 0 Back / 9-Side
---------.-.-------.-.-------.-.-------------------.-.-----.-------.-.---.---------------.-------.-------------.-----.---------.-.-
NOTES:
SUMP PUMP SYSTEM:
,-
~ l' ASS 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?
Where is this location?
This area will need to be fixed so the clear water discharges to the storm sewer system.
.--:-
Inspector:' V.AA~ 1..--...-1~
Resident: ( / ~ ~ (", fA )~-r
DYes
9-NO
Date: b - 9- 9f
Date: 6 - 1'- 9'
I 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