HomeMy WebLinkAboutSump Pump Inspection
'd.50360340
,. (-;t .~
'1;."10: .J~".,'.';, ~;~';"il~l~ - i,~ '(J'~)'C
Name:
~S'7E.Ae
City of Prior Lake
Sump Pump and III Reduction
Inspection FOI!!!
A..,A~eAl"cE
.If
Prior Lake, MN 55
Phone:
Date:9"'7-99 Time:_S..... a.m.~)
First! Is ection j( Second I J
Own: ~:pt: 0 Age of Home:
Resident" al: ~
Non-Residential: 0
Address:i5;l35 EDt/V f.lRoL.< rr#
A. BASEMENT OYes )(No SUMPBASKET~ 0 0 1 0 2 0 3 0
WATER IN BASKET 0 Yes LJ No SUMP PUMP t:( 0 0 1 0 f ~ 3 LJ
WATER IN BASEMENT (flow over floor) LJ Yes,x(No CISTERN 0 Yes~ No
(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
LJ Floor drain
o Sanitary sewer
o Other
o Outsid ~
Prior to Inspection:
When was system installed, or most recently modified? (Date)
and wh~ r
0 Home came with system 0
LJ Water in basement LJ
B. ROOF LEADERS: 0
C. YARD DRAINS LJ
BEAVER SYSTEM LJ
Response to inspection program 0 Other
Previous system failed
YeSXNO DISCHARGE: 0 Near 0 AWiy
Yes){ No WINDOW WELLS 0 Yes 0 No
Yes!! No
D. PROPERTIES WITH SUMP PUMPS
When does pump run? 0 Fall 0 Summer 0 Spring 0 Winter
(check all that apply) How often does pump run?
_;;c;iriiS~~~~~~~.~~e_t~~~:;._._._._._~.!,~O_ll~._._._._~._Il~k:_._._._._~._S~d_e_...._._._._._._._._._
,; ,
SUMP PUMP SYSTEM: ~ PASS 0 FAIL You have 30 days to bring your system into complian ;e with current
regulations. When you are ready for reinspection, call 651/644-14~ ~ '; an appointment.
Is there another place where clear water enters the sanitary sewer system? 0 Yes ~ No
Where is this location?
This area will 0 b;.i!ted so the cl: :e)charges to the storm sewer system.
Inspector. "~ Date: 7...-7....7~'
Resident: / Date:
Disclaimer: This visual inspection is done with due diligence to fmd obvious clear water cros i-connections
and does not imply the structure meets all City Codes.
White: Homeowner
Yellow: City
Pink: HRG