HomeMy WebLinkAboutSump Pump Inspection
A.
City of Prior Lake
Sump Pump and III Reduction
Inspection FOll11 /jfJP)-r
Name: J70CJ!E: Ai0Ai Dat~~7-99Time//~a.m./p.m.
'"
/ r'r-: / j) , /.' fi'irst Insp~on ~econd 0
Address:/ Q;;; "'t' () Ui: I!) K E" It (/ NW Own: a/' Rent: D Age of Home:3 9crt S
" I I 1. ;y; Residential: ~. J'
Prior Lake, MN 55 v 7):J Phone:^T.y1-IO 1/ Non-Residential: 0
~' /
BASEMENT ~ ONo /' SUMPBASKET ~ 1 0 2 .0 3 O.
WATER IN BASKET 0 Yes rD1<fo SUMP PllMP ~ 0 1 0 2 0 ~
WATER IN BASEMENT (flow over floor) 0 Yes ~o CISTERN 0 Yes ~
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~b~
(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
0 Home came with system 0 Response to inspection program 0 Other
o Water in basement 0 PreV~failed
B. ROOF LEADERS: 0 Yes 0 DISCHARGE: o Nezy
C. YARD DRAINS 0 Yes * WINDOW WELLS es 0 No
BEAVER SYSTEM 0 Yes 0
D. 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
-NOTES~'-'-'-/(fo'=r'-'ol7'-'-l:::i::r-V-'-'-;;-7;;;-?.i;e;-'7~EtZiif;e;'-'-'-'-'-'-'-'-'-
/' /
SUMP PUMP SYSTEM: ~SS 0 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 ~ent.
Is there another place where clear water enters the sanitary sewer system? 0 Yes o-1ifo
Where is this location~ 1-2
This area will need .t~ fix~ ~e c~atehargeS to the storm sewer system.
Inspectos~? . p./v~~ Date: ~"'2:!- ";I~
Resident: -k 1/, -1 ~ 0 .c,...... \ /' Date: L -.A::/ 7 - ';/~
1) lJV l/V'\ h. _ , uU,-,<-_
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