HomeMy WebLinkAboutSump Pump Inspection
City of Prior Lake
Sump Pump and III Reduction
Inspection Form A p,"+'
Name: \JIJ:( tAl'1 J . DLAVlr; + t. 1 ~~V\ Date:_t -/1- 9 <1 Time:/":>] Q a.m./p.m.
);-/76 First Inspection er"" Second a
Address: 13,j ~~ w~ ffr C I R AIr: Own: ~ Rent: 0 Age of Home: )i
./ Residential: a-
Prior Lake, MN 55lJ;l Phone: LjLf 7- '-ILI/.3 Non-Residential: 0
A.
-..../<< (~D",,-r ~
BASEMENT CJ.1'es 0 No SUMP BASKET ~ 0 0 1 0 2 0 3 0
W AU.-I( IN BASKET 0 Yes 0 No SUMP PUMP crO 0 1 0 2 0 3 0
WATER IN BASEMENT (flow over floor) 0 Yes 0"No CISTERN 0 Yes ~
(If no pump, place sticker across edge of sump cover and basement floor so any removal Jf cover will
break seal. Skip to Part B of this form.)
',~,.,;.,t_
qischarge Point
aHf!~pection:
o Laundry tub
o Floor drain
o Sanitary sewer
o Other
o Outsid e
Prior to Inspection:
When was system installed, or most recently modified? (Date)
and wh~'
o Home came with system 0 Response to inspection program 0 Other
o Water in basement 0 Previous system failed
ti'" I
B. ROOF,LEADERS: f....~es 0 No DISCHARGE: 0 Near cr:.;\W!lY
C. YARD DRAINS 0 Yes ~ WINDOW WELLS 0 Yes ~~
BEAVER SYSTEM 0 Yes lJ'No
D.
PROPERuJ!.S ~l1n 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 Winterl
o Side
-----.---.-.-.-.-.-.-------------------.---------------.-.-----------------.---------------.-.---------------.-....-.-.-.-.-.-.-.-.-
NOTES:
SUMP PUMP SYSTEM: er'PAss 0 FAIL You have 30 days to bring your system into complian:e with current
regulations 0 When you are ready for reinspection. call 651/644-1469 fi 7pointmento
Is there another place where clear water enters the sanitary sewer system? 0 Yes EJ No
Where is this location?
This area will need to be fixed so the clear water discharges to the storm sewer system.
Inspector: ~~~ ~~~
Resident: h - -
,
Date: 6-/1- 77'
Date: 6- /9- 97
Disclaimer: This visual inspection is done with due diligence to C"md obvious clear water cros~-connections
and does not imply the structure meets all City Codes.
White: Homeowner
Yellow: City
Pink: HRG