HomeMy WebLinkAboutSump Pump Inspection
City of Prior Lake
Sump Pump and III Reduction
Inspection Form l4a;f/
. ~
Name:
{VI 0 V' k
Date: /Z-29-Cj9 Time:!1-Da.m.8
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Address: ~229 CCH1Jl{ (ov't TeL Si=
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Prior Lake, MN 5511u Phone: f./l/()-57"S7
First !n~ction)i
Own~ Rent: 0
Residential~
Non-Residential: 0
Second 0 3r
Age of Home: CJ
A.
BASEMENT ~ Yes 0 No SUMP BASKET ~o 0 1 0 2 0 3 0
WATER IN BASKET-9 Yei 0 NtJ SUM~ PlJMP ~ 0 0 1 0 L9- 3 0
WATER IN BASEMENT (flow over floor),O Yes ~o CISTERN 0 Yes Jl\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 Outside
o Sanitary sewer
o Other
Prior to Inspection:
When was system installed, or most recently modified? (Date)
and why
B.
C.
o Home came with system 0 Response to inspection program 0 Other
o Water in basement 0 Previous system failed
ROOF LEADERS: y( Yes 0 No DISCHARGE: 0 Near 9( Away
YARD DRAINS 0 Yes{i}Jo WINDOWWELLS ~ Yes 0 No
BEAVER SYSTEM 0 Yes.9\No
PROPERTIES 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
D.
-----.---------.---------------------------.-----------.---------.-------------------.-.---.-.-.-------.---.-.-------.-----.-.-.---
1-
NOTES:
SUMP PUMP SYSTEM: ~/ PASS 0 FAIL You have 30 days to bring your system into compliance with current
regulations. When you are ready for reinspection, ca1l651/644-14~9 Jr an appointment.
Is there another place where clear water enters the sanitary sewer system? 0 Y es ~ No
Where is this loca . on? J
This area will ne d so,the~If"J'dwater discharges to the storm sewer system. ~
...., T\.,- . \ "1 _"''1 Q
Inspector: V ....:--:::;:::::. Date: L... 1- \- \
Resident: Date: I L / ? tIf' /' /2.R
t ., T -/
I
Disclaimer: This visual inspection is done with due diligence to fmd obvious clear water cross-conDections
and does not imply the structure meets all City Codes.
White: Homeowner
Yellow: City
Pink: HRG