HomeMy WebLinkAboutSump Pump Inspection
A.
City of Prior Lake
Sump Pump and III Reduction
/ Inspection FOIIII /yp;:yj
Name: Jl'E)./{)~e 2]ElJ;<.//S Dat~-//-99 Time/0~m.!p.m.
J/""/; // ~ /JA/E Firstlnsp~n ~ond 6 /}~I
Address:/v,.ov~ A; Dt2-6tJilJ/5"e c,,/,..e Own: 19'" Rent: 0 Age ofHome~"1<(~S
~'7~, / V/;" /7~ '/_ Residential:~. .j
Prior Lake, MN 55...::;)/,A/ Phoney~ I'" / )/V? Non-Residential: 0
,(~~/:.{] /. . . /:
BASEMENT ~. LJ No / SUMP BASKET ty'j)/ LJ 1 LJ 2 LJ 3 LJ
WATER IN BASKET o Yes ~o SUMPP1JMP ~O 0 1 0 2 0.). 0
WATER IN BASEMENT (flow over floor) LJ Yes cYNo CISTERN LJ Yes ~
(If no pump, place sticker across edge of sump cover and basement floor so any removal :>f 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 Outsid e
Prior to Inspection:
When was system installed, or most recently modified? (Date)
--
and wh:r
o Home came with system
o Water in basement
o Response to inspection program 0 Other
o Previous system failed
~ 0 No DISCHARGE: 0 Near ~ay
LJ Yes ~ WINDOW WELLS LJ Yes~..,qQ
LJ Yes C!J"'1\l 0
B.
C.
ROOF LEADERS:
YARD DRAINS
BEAVER SYSTEM
D.
PROPERTIES WITH SUMP PUMPS
When does pump run? LJ Fall LJ Summer
(check all that apply) How often does pump run?
Where does pump discharge to outside? 0 Front
o Spring
--
LJ Wintej
o Side
o Back
NOTES:
./"
SUMP PUMP SYSTEM: ~S 0 FAIL You have 30 days to bring your system into complian ,;e with current
regulations. When you are ready for reinspection. call 6511644-146?9' Ir an . ment.
Is there another place where clear water enters the sanitary sewer system? 0 Yes 0
Where is this location? _ d2
This area will need to b;.redy1l'1e clear~e~arges to the storm sewer system. I
Inspector: . ~ . V~~ Date: 3-//- 9;Yi
Resident: ~ l')NY:YC';"",/\ /, ./tCCN"\r\O/'\. ~ Date: 3-1/- ~91
, (/) . :
Disclaimer: This visual inspection is done with due diligence to rmd obvious clear water cro+-connections
and does not imply the structure meets all City Codes. I
White: Homeowner
Yellow: City
Pink: HRG