HomeMy WebLinkAboutSump Pump Inspection
City of Prior Lake
Sump Pump and III Reduction
Inspection Form
Name: 0 /y Y\ I K.
I ~ ( ()/
Address: I f..2 ::>) (:" /;y.", '1 7(/ }VE.
Prior Lake, MN 55 J 72 Phone: '!t;O --.2 l;f tJ
Date: /-l(l- 79 Time: /7'lra.m./p.m.
First Inspection ~Second tJ
Ow~: ~Rent: 0 Age of nome: /"/1'.5 /
ResIdent~al: ~ 4,ov./"'w;
Non-ReSIdentIal: 0 i v1 11N J- 17"1
A.
BASEMENT ~s 0 No
WATER IN BASKET 0 Yes 0 No
WATER IN BASEMENT (flow over floor)
SUMPBASKET ~ 0 1 0 2 013 0
SUMP PUMP l2r1f 0 1 0 2 O! 3 0
DYes ~ CISTERN DYes ~
(If no pump, place sticker across edge of sump cover and basement floor so any removal of 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~
Prior to Inspection:
When was system installed, or most recently modified? (Date)
o Home came with system
o Water in basement
and why
o Response to inspection program
o Previous system failed
o Other
B.
C.
ROOF LEADERS:
YARD DRAINS
BEAVER SYSTEM
o Yes ~
o Yesl31ifu
o Yes ~
D.
PROPERTIES WITH SUMP PUMPS
When does pump run? 0 Fall 0 Summer
(check all that apply) How often does pump run?
Where does pump discharge to outside? 0 Front
DISCHARGE: 0 Near 0 Aw~y
WINDOW WELLS 0 Yes ~
o Spring
o Winter
o Back
-'-'-'-'-'-'-'-'~'-'-'-'-'-'-'-'r'-'-'-'-'-'-'-'-'-'-'-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-._.~._._._._._._.-._.-
NOTES: f( r"':1 J..."../- bo ....q/.. -I- J'1 o v...-, Co.. 1)('" C. /1, r:.
./
o Side
SUMP PUMP SYSTEM:
e-1>ASs 0 FAIL You have 30 days to bring your system into compli~e with current
regulations. When you are ready for reinspection, call 651/644-1469 hr an appointment.
Is there another place where clear water enters the sanitary sewer system? 0 Y es ~o
Where is this location?
This area will need to be fixed so the clear water discharges to the storm sewer system.
Inspector: ,~iL.___, Date: h - ;] l/_ 9'1
Resident:~ ///w /P1L/" Date: ,( - ;JL/- "11
,-- '" /......;~J.
I , / I
Disclaimer: This visual inspection'is done with due diligence to rmd obvious clear water cross-connections
and does not imply the structure meets all City Codes.
White: Homeowner
Yellow: City
Pink: HRG