HomeMy WebLinkAboutSump Pump Inspection
,~,;;,'jll~_,\,.(~,"~u.-~" ~ '\",~- f'~4,-".." < ,'-, ~'t."~~~.'iP:j~', - '~to'{'~i:'~~'''~l
J
p!fJ35
A.
City of Prior Lake
Sump Pump and III Reduction
Inspection FOll11 /ltJP/-r
Name: Sie;:;;uss ~/Vf.€'~ Date~~~Timely&Oa.m./p.m.
./
Jrc'd /l A/6FirstInsp~ ~nd 0 /
Address: / V v 73 (..., ,IS)"t., /V1 U I f) V Own: ~ Rent: ~ Age of Home: / ro"1 i. 5-1
3 /, 1 h J. -? / Aesidential: ~ J
Prior Lake, MN 55 7>> Phone:7~7""~7j Non-Residential: 0
I / ,.
f.!!.UJ~~^-,I./ ~ ~
BASEMENT ~es 0 No SUMP BASKET 0 0 0 2 0 3 0
WAl~RINBASKET OYes 0 SUMPP~ 0 1 0 2 0 ~
WATER IN BASEMENT (flow over floor) 0 Yes ~o CISTERN 0 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.)
Discharge Point
at Inspection:
o Laundry tub
o Floor drain
o Sanitary sewer ___ 0 Outside
o Other
Prior to I ection:
When s system installed, or most recently modified? (Date)
...--.
Home came with system
o Water in basement
and why
o Response to inspection program
o Previous syst ailed
o Other
ROOF LEADERS:
YARD DRAINS
BENVER SYSTEM
DISCHARGE: 0 Near 0 Away
WINDOW WELLS 0 Yes~
B.
C.
o Yes...,.. 1~
o Yes tJ'N~
o Yes ~
D. PROPERl~S WITH SUMP PUMPS
When does pump run? 0 Fall 0 Summer 0 Spri~g 0 Winter
(check all that apply) How often does pump run?
Where does pump discharge to outside? 0 Front 0 Back - 0 Side
NOTES:
.."..-
/
~SS 0 FAIL You have 30 days to bring your system into compliance with c nt
regulations. When you are ready for reinspection, ca[[651/644-1469 for 'Pointment.
Is there another place where clear water enters the sanitary sewer system? 0 Yes
Where is this location?
This area will need to be f~ s~ clear w~ dee~ to the storm sewer system.
Inspector: ~. ~~?-' Date: 2-.--GS-)P;J
Resident: ~~ -ts. ~~~ Date: 2-;G,S-'7C:J
SUMP PUMP SYSTEM:
~laimer: This visual inspection is done with due diligence to fmd obvious clear water cross-connections
ana does not imply the structure meets all City Codes.
White: Homeowner
Yellow: City
Pink: HRG