HomeMy WebLinkAboutSump Pump Inspection
~o
Q
\)
\<\
~Q
1
City of Prior Lake
Sump Pump and III Reduction
Inspection FOll11
Name: fit:! rr " S I
(' I~ tI(
Date: 6, J ~ "1' Time: /21,)' a.m.lp.m.
Address: L/6 {6 bv r ~/'-'t r; J ;J~
First Inspection er- Second 0
Own: ~ Rent: 0 Age of Home: rr
Residential: ~
Non-Residential: 0
Prior Lake, MN 5537.,;2.
Phone: <,....7...2 6' - ~.;;)'?P
A. BASEMENT l3f"es 0 No SUMP BASKET I3'1f 0 1 0 2 0 3 0
WATER IN BASKET 0 Yes 0 No SUMP PUMP cr-O 0 1 0 2 0 3 0
WATER IN BASEMENT (flow over floor) 0 Yes l3-No CISTERN 0 Yes -8"N'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 Outside
o Sanitary sewer
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 Previous system failed
o Yes ~ DISCHARGE: 0 Near 0 Away
o Y es ~ WINDOW WELLS 0 Yes l3'1'fo
o Yes CJ--"N 0
B.
C.
ROOF LEADERS:
YARD DRAINS
BEAVER SYSTEM
D.
PROPERTIES WITH SUMP PUMPS
When does pump run? 0 Fall 0 Summer 0 Spring
(check all that apply) How often does pump run?
Where does pump discharge to outside? 0 Front 0 Back
o Side
o Winter
---------.-.-------.-.-.-------------------------.-----------------------------------------------------------.-.---------.-.-----.-
NOTES:
SUMP PUMP SYSTEM:
~SS
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 ~o
Where is this location?
This area will need to be fixed so the clear water discharges to the storm sewer system.
Inspector:
Resident:
u,~ /W~r.f/
{; J,,~ #ayr ,'.f
6-J'77
/, . J - 79
Date:
Date:
4'
Disclaimer: This visual inspection is done with due diligence to fmd obvious clear water cross-connections
and does not imply the structure meets all City Codes.
White: Homeowner
Yellow: City
Pink: HRG