HomeMy WebLinkAboutSump Pump Inspection
A.
City of Prior Lake
Sump Pump and III Reduction
Inspection Form
Name:jv{;U.€L:, ~y' l' J:{;f?L;:i Date:^I-S99 Timel3sCl.m.lp.m
s~
Address: 02/8 CA/../eJY COve 7:L
Prior Lake, MN 5;37~ Phone:V~, 975'1
iuicXi0L~ ~
BASEMENT ~es 0 No. ~ SUMP BASKET 0 1 0 2 0 3 0
WATER IN BASKET o Yes ~o SUMPPlJ)'IP 0 0 1 0 2 O~
WATER IN BASEMENT (flow over floor) 0 Yes ~o CISTERN 0 Yes ~
First Insp~n ~cond 0
Own: g.-r R:.nt:.9-- Age of Home: .25'1 zS
Residential: ~ .J
Non-Residential: 0
(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 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 Previgus system failed
~O No DISCHARGE: 0 Near ~y
o Yes ~o WINDOW WELLS 0 Yes~.
o Yes ~~
B.
C.
ROOF LEADERS:
YARD DRAINS
BEAVER SYSTEM
D. PROPERTIES WITH SUMP PUMPS
When does pump run? 0 Fall 0 Summer O..JE!ing 0 Winter
(check all that apply) How often does pump run?
Where does pump discharge to outside? 0 Front 0 Back 0 Side
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NOTES:
SUMP PUMP SYSTEM:
.-
~S
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? /7 ~ ..,.
This area will need t~~othe clepat~charges to the storm sewer syste)p'
Inspecto~'}f/:~'" -- Date: 7. ~-~.Y
Resident: .., ,/J?/f.~./l /}u I l;:/ Y Date: t-t - t; - '71
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