HomeMy WebLinkAboutSump Pump Inspection
City of Prior Lake
Sump Pump and III Reduction
Inspection Form
Name: L.p rrt- 1/1 f,.-p,(\ k.
Date: :3- /7-qq
Time: "3 '. jOa.m./fi:.!!Y
Prior Lake, MN 55 '3"72-
Phone: "147..20"2..5
First Inspection B'
Own: iB'" Rent: 0
Residential: ~
Non-Residential: 0
Second 0
Age of Home:b yl"$
Address: 4185 fEAu CI AI re. 1r I
A.
BASEMENT ~s 0 No _ ...--- SUMP BASI{ET ~ ~~o 2 0 3 0
WATER IN BASKET 0 Yes iV'No SUMP PJ1MP 9"\) 0 1 0 2 0> 0
WATER IN BASEMENT (flow over floor) 0 Yes (!(No CISTERN 0 Yes lQ1ifo
(If no pump, place sticker across edge of sump cover and basement floor so arty 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
o Other
o Outside
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
o Previous system failed
o Other
B.
C.
ROOF LEADERS:
YARD DRAINS
BEAVER SYSTEM
DYes g---N~
o Yes ~
DYes C!V'No
DISCHARGE: 0 Near 0 Away
WINDOW WELLS 0 Yes 0 No
D.
PROPERuJ!.S 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 Winter
o Side
NOTES:
SUMP PUMP SYSTEM:
~ASS
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.
,/} I /1 .
Inspector: ~ /;b[;:> /:ad.f.. Date: 3- 7-'19
Resident: ~__ .0 A...-4'-'" Date:
J/ " . \
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
'~--""'~-_.'"'.' ....,