HomeMy WebLinkAboutSump Pump Inspection
A.
City of Prior Lake
Sump Pump and III Reduction
Inspection Form 1t!l;JjJ/i
Name: _~4ci~.A..(. J:Q;'{,E'S Z. DatJ-;2~-99'limY/6..3Qm.lp.m.
/ r L"" r ,4t/ A./ E First Ins~n 19-~ond [J ;, r'"
Address;/~....26v ~O/A1l3OeoayJ-l Own: ~ Rent: 9- Age of Home~'1 25
~ / ~ /. ~ /Residential: ~ J
Prior ~e, MN 55..::>7,Z1 Phone:t~'O~65J31 Non-Residential: 0
rl.--Cl.LtSC- ,!,/ . /'-'
BASEMENT ~es 0 No / SUMP BASKET ~(J./d 1 0 2 0 3 0
WATER IN BASKET o Yes D1fo SUMP~~ B'O 0 1 0 2 0)-0
WATER IN BASEMENT (flow over floor) 0 Y es ~ CISTERN r:J Y es ~ 0
(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 ..Cl Outsid ~
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
o Previous syste ailed
o Oth ~r
B.
C.
ROOF LEADERS:
YARD DRAINS
BEAVER SYSTEM
PROPERTIES WITH SUMP PUMPS
When does pump run? 0 Fall 0 Summer 0 S~ng
(check all that apply) How often does pump run?
Where does pump discharge to outside? 0 Front 0 Back
DISCHARGE: 0 Nl:ar 0 AW1Y
WINDOW WELLS 0 Yes g<
D.
o Winter
o Side
-.-.-------.---.-.-.-.-.---------------.-----------------------------------------------------------.,..---.------.----.-------------
NOTES:
/
SUMP PUMP SYSTEM: ~SS 0 FAIL You have 30 days to bring your system into complianl 'e with current _
regulations. When you are ready for reinspection. call 651/644-1469 ft r an ~nt.
Is there another place where clear water enters the sanitary sewer system? 0 Yel, Q 1fu
Where is this location?
This area will need to be ~d~e clear w~r ~arges to the storm sewer system. I
Inspector: ~5:~~U~"" Date: ..3-.2..3-951 I
Resident: ;: ~ Date: ..3' ~3- 99 !
Disclaimer: This ~sual ins . on is done with due diligence to rmd obvious clear ~ater cros$-connections
and does not imply the structure meets all City Codes. I
White: Homeowner
Yellow: 'City
Pnk: HRG