HomeMy WebLinkAboutSump Pump Inspection
City of Prior Lake
Sump Pump and III Reduction
Inspection Form
Name: Wr;( i (~) /(P,^ J. ~""
Date:t-2l(- 'II Time: /7)() a.m./p.m.
First Inspection ey- Second I J J:.2 /
Address: J!);J. J. '1 (:./ t j,~".. k s Ir I. N E Own: ~ Rent: 0 Age of Home: :;'_J"7
Residential: g.-- - r
Prior Lake, MN 55:3 7.1 Phone: tf'-!o _I..//./(L( Non-Residential: 0
A.
1.rJ.J f;yr..f-
BASEMENT g-yes 0 No SUMP BASKET 0 0 ~ 0 2 0 3 0
WATER IN BASKET iA'Yes 0 No SUMP PUMP 0 0 1T1 0 2 0 3 0
WATER IN BASEMENT (flow over floor) 0 Yes ~ CISTERN 0 Yes EMilo
(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
~side
Prior to Inspection:
When was system installed, or most recently modified? (Date) and wh~'
~e came with system 0 Response to inspection program 0 Other
o Water in basement 0 Previous system failed
B. ROOF LEADERS: 0 Yes ~ DISCHARGE: 0 Near 0 Away
C. YARD DRAINS 0 Yes~ WINDOW WELLS 0 Yesg~
BEAVER SYSTEM 0 Yes Ci1fc)
D.
PROPERTIES WITH SUMP PUMPS
When does pump run? 0 Fall 0 Summer 0 Spring
(check all that apply) How often does pump run? IA 1-1 411 0 ....v ~
Where does pump discharge to outside? 0 Front 0 Back
o WinteI
e--sure-
_Co
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 651/644-1469 fi " an appointment.
Is there another place where clear water enters the sanitary sewer system? 0 Yes g-1ro
Where is this location?
This area will need to be fixed so the clear water discharges to the storm sewer system.
11
Inspector: --//./A}, t1....JJI-,~ Date: 6 - 2Lj- f f
Resident: 1(~ ~-;~ ,/, Date: b - ::? (/- '1 '!
Disclaimer: This visual inspection is done with due diligence to rmd obvious clear water cros s-connections
and does not imply the structure meets all City Codes.
White: Homeowner
Yellow: City
Pink: HRG