HomeMy WebLinkAboutSump Pump Inspection
prJ9
~6
~jJ/J/1
Dat~ -10- 9 S' Time!WO a.m./p.m.
L /'j /'2 First Inspe~ ~nd 0
Address: 'y/"7'.;;J E rJu... C..: 19/9i:! 71?,f/.e Own: ~ Rent: CV Age of Home: 20Gr.?5
I.../. /' Residential: 0-" .j
Prior)-ake, MN 553 ZO Phone:T~7-750.::> Non-Residential: 0
/nhJ9LJ L - ./
A. ' '-"BASE~~T ' ~ 0 No /' SUMP~ASKE ~ 1 0 2 0 3 0
WATER IN BASKET o Yes ~ SUMPP ~ 0 1 0 2 oYO
WATER IN BASEMENT (flow over floor) 0 Yes 0 CISTERN 0 Yes Q1ifu
City of Prior Lake
Sump Pump and III Reduction
Inspection Form
Name: ;v(/I.,l Eb. <feori
,
(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
o Home came with system
o Water in basement
o Response to inspection program 0 Other r'
o pr;us system failed
~s 0 Ny. DISCHARGE: 0 Near ~ ~,
DYes l1Y'NQ/'"" WINDOW WELLS 0 Yes ~
o Yes ~
B.
C.
ROOF LEADERS:
YARD DRAINS
BEAVER SYSTEM
D.
PROPERTIES WITH SUMP PUMPS
When does pump run? 0 Fall 0 Summer O-SPring
(check all that apply) How often does pump run?
Where does pump discharge to outside? 0 Front 0 'Back
o Winter
o Side
NOTES:
/"
SUMP PUMP SYSTEM: ctASs 0 FAIL You have 30 days to bring your system into Compli~ce with current ,-
regulations. When you are ready for reinspection, call 651/644-1469 for an ap, . en/.
Is there another place where clear water enters the sanitary sewer system? 0 Yes 0
Where is this location?
This area will need ~e f~ so the cl,.r w~r dis~harges to the storm sewer system.
Inspector:~. &~~ Date: .3-10-99
Resident:~ UA.G l\t~€}' Date: -..3 -/0 -;1.51
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