HomeMy WebLinkAboutSump Pump Inspection
o
0'
~o
JoQJ
(~
J
City of Prior Lake
Sump Pump and III Reduction
Inspection Form
Name: OII..-I3.€e-r: ?o6.Eei Date~/3-99 TimeJ6ma.m./p.m.
)IE . /"
/ h ,0 L:' C -r" First Ins~on Q"'" Second 0
Address:"'YVlo N~(L LJQ/j]-6 / e Own: ~ Rent: 0 Age of Home:.tt it)
j 7:& ~ /. .t/ Residential: ~ .J
Prior Lake, MN 55 Phone:tV7...63 7 Non-Residential: 0
/. ..:t~ /
l'-UtVc'l'~ ^-' /~... ~
BASEMENT ltVfes 0 SUMP~AS 0 1 0 2 0 3 0
WATER IN BASKET es ONo SUMPP 0 0 1 0 2 0
WATER IN BASEMENT (flow over floor) 0 Yes No CISTERN 0 Yes ~
/Jpp/I
A.
(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 ,.....eJ Outside
o Other
~
B.
C.
Prior to Inspection:
When was system installed, or most recently modified? (Date)
~me came with system 0 Response to inspection program
o Water in basement ~r~s system failed
ROOF LEADE~~~1\P\ ris [J No DISCHARGE: [J Near ~
YARD DRAINS 0 Yest('~ WINDOW WELLS 0 Yes~
BEAVER SYSTEM 0 Yes l3"No
and why
o Other
D. PROPERll~S WITH SUMP PUMPS
When does pump run? 0 Fall 0 Summer 0 Spri~ 0 Winter
(check all that apply) How often does pump run?
Where does pump discharge to outside? 0 Front 0 Bac~ 0 Side
-------.-.-.-------.-.-----------.---------------.-.---------------------.-----------------------------------------------.-.-----.-
NOTES:
/
SUMP PUMP SYSTEM: MASS 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 ~ent.
Is there another place where clear water enters the sanitary sewer system? 0 Yes B'No
Where is this location?
This area will need t? b e~ clear ~r ~rges to the storm sewer syste~.
Inspector:. _ .'" V:::,4qr7~./ Date: "$I' ~ /3 - '.7:7
Resident: 'V //< ~L~;ifJt~_ j/.. v Date: ~- / ~ - 99
,. y ,~.......~'/'4lVy,.
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