HomeMy WebLinkAboutSump Pump Inspection~'
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City of Prior Lake
,.~~~ First Insp 'on ~"Second O
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Address:~~~~~ ~~~=~T ~~ ~~D Own: Rent: Age of Home: ~~
~y~/,~/~/~y Residential: ~ ~
Prior Lake, MN 55~ /N Phone:'~"7° /'~~~ Non-Residential: ~
!~/V~IJL ~Ci 'h- ~
A. BASEMENT C1 Yes o~ SUMP BASKET ~A'1 ~ 2 ~ 3 ~
WATER IN BASKET C~ Yes o SUMP PUI~ 1a'~ ~ 1 ~ 2 ~~3' ~
WATER IN BASEMENT (flow over floor) ~ Yes I~o CISTERN O Yes ~To
(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 [a Laundry tub ~ Sanitary sewer~, ~ Outside
at Inspection: ~ Floor drain ~ Other
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Prior to Inspection:
When was system installed, or most recently modified? (Date) and why
a Home came with system CI Response to inspection program I~ Other
' t7 Water in basement L'1 Prev' us system failed
B. ROOF LEADERS: C9'Yes ~ No DISCHARGE: ~ Near way
C. YARD DRAINS C7 Yes ~~ ~ WINDOW WELLS ~ Yes Z1~IQo
BEAVER SYSTEM ~ Yes IDi'No
D. PROPERTIES WITH SUMP PUMPS
When does pump run? ~ Fall L~ Summer t7 JSpxing ~ Winter
(check all that apply) How often does pump run?
V~here does pump discharge to outside? ~ Front ~1 8ack Q Side
NOTES:
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SUMP PUMP SYSTEM: ~ASS ^ FAIL You have 30 days to bring your system into compliance with curre
regulations. When you are ready for reinspection, call 651 /644-1469 for an tntment.
Is there another place where clear water enters the sanitary sewer system? ~ Yes o
Where is this iocation?
This area will need to b i~so the cle,,aer ~y.at~r discharges to the storm sewer system.
Inspeetor:
Resident: ~
Date• /v
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