HomeMy WebLinkAboutSump Pump Inspection
City of Prior Lake
Sump Pump and III Reduction
Inspection Form
Name: () Vf; I (, ~ P 1/ ; Vi
Date: 6 - 7- r 1 Time: If J () a.m./p.m.
First Inspection 13'" Second 0 /
Address: '] 19 r r <.-1 I.,.;,..,,,, i (" / rz IVI..J Own: ~ Rent: 0 Age of Home: J ~
Residential: CJ-
Prior Lake, MN 55 ]7;;" Phone: 'i'-lo -I.{f '-ILl Non-Residential: 0
A.
~,f b,cI..rf"
BASEMENT i3"Yes 0 No
WATER IN BASKET 0 Yes ~o
WATER IN BASEMENT (flow over floor)
SUMP BASKET 0 0 13"1 0 2 0 3 0
SUMP PUMP ~O 0 1 0 2 0 3 0
o Yes 13"'N'0 CISTERN 0 Yes o-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
"I' t
r'~es 0 No DISCHARGE: 0 Near ~ay
o Yes a-No WINDOW WELLS 0 Yes l>'1fo
o Yes CYNo
B.
C.
ROOF LEADERS:
YARD DRAINS
BEAVER SYSTEM
D.
PROPERTffiS 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
o Winter
o Side
NOTES:
SUMP PUMP SYSTEM:
!2r'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 ~
Where is this location?
This area will need to be fixed so the clear water discharges to the storm sewer system.
....--.....
Inspector:
Resident:
~ A/IJ,J(.~
" 1 (-..!-cJ'-.]\. .~\
Date:
Date:
l:.~ 7' ') r
~('- ").??
.. .
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