HomeMy WebLinkAboutSump Pump Inspection
- 06
760
City of Prior Lake
Sump Pump and III Reduction
Inspection Form 'Pp/j
~~p Date~-/O-99Tim?9A/~.Ip.m.
Name: ~H I D
)
Address:/S3S"~ hSN P7 Ro
Prior La e, MN 5537,0 PhoneY.y'7-6709
First Insp~on ~ond 0 '2/
Own: tr' Rent:--P--.. Age of Home:~Y. 5
Residential: ~ :J
Non-Residential: 0
A.
BASEMENT es CJ No /
WATER IN BASKET CJYes ~
WATER IN BASEMENT (flow over floor)
SUMP~AS p("'~ 1 CJ 2 CJ 3 CJ_
SUMP P ~ r; 1 CJ 2 CJ
o Yes 0 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 ...-- CJ Outside
o Other
Prior to Inspection:
When was system installed, or most recently modified? (Date)
---
and why
B.
C.
CJ Home came with system 0 Respo to inspection program 0 Other
o Water in basement <- 0 Pre' us system failed
ROOF LEADERS: 0 f:? Yes 0 Ny DISCHARGE: 0 Near ~.
YARD DRAINS 0 Yes P'NV' WINDOW WELLS CJ Yes ~No
BEAVER SYSTEM 0 Y es ~
PROPERTIES WITH SUMP PUMPS
When does pump run? 0 Fall CJ Summer
(check all that apply) How often does pump run?
Where does pump discharge to outside? CJ Front
D.
o Spring
;.--
o Winter
CJ Back:
CJ Side
_._._._._._._._._._._._~_._._._._._._._._._._._.,_.-.-.-.---.-----------------------.-----.-.---.-.-.-----.---.-----.---.-.-.-----.-
NOTES:
CJ FAIL You have 30 days to bring your system into compliance with cur.
regulations. When you are ready for reinspection. call 651/644.1469 for an ointment.
Is there another place where clear water enters the sanitary sewer system? 0 Yes
Where is this location?
This area will need to be . scharges to the storm sewer system.
SUMP PUMP SYSTEM:
Inspector:
Resident:
Date:
Date:
Disclaimer: This visual inspection is done with due diligence to find obvious clear water cross-connections
and does not im 1 the structure meets all Cit Codes.
White: Homeowner
Yellow: City
Pink: HRG