HomeMy WebLinkAboutSump Pump Inspection
\)
r\
~~
\,\
~1'
1
City of Prior Lake
Sump Pump and III Reduction
Inspection Form Aop1.
, I
Name: )If (, w; / II em1 <:. Ti "'" .J. !V1tl1't\((-{
Date: s- 2 () - r'1 Time: 01 (} 0 a.m./p.m.
First Inspection ~ Second 0
Own: e" Rent: 0 Age of Home: ] 0
Residential: g.---
Non-Residential: 0
Address: J Lj..J.5 Is /e,n d C 1(( ;/ vJ
Prior Lake, MN 55 37,),
Phone: '1'1#- 659;-
A.
(".-/ _ / "I)'" i
BASEMENT ~s 0 No
WATER IN BASKET erYes 0 No
WATER IN BASEMENT (flow over floor)
SUMP BASKET 0 0 I?l. 0 2 0 3 0
SUMPPUMP 0 0 cT1 0 2 0 3 0
o Yes ~o CISTERN 0 Yes 9'N'0
(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:
~side
o Laundry tub
o Floor drain
o Sanitary sewer
o Other
B.
C.
Prior to Inspection:
Wh~as system installed, or most recently modified? (Date)
e(" Home came with system 0 Response to inspection program
o Water in basement 0 Previous system failed
ROOF LEADERS: 0 Yes ri DISCHARGE: 0 Near 0 Away
YARD DRAINS OYes~ WINDOW WELLS OYes~
BEAVER SYSTEM 0 Yes 1A""N0
and why
o Other
D.
PROPERTIES WITH SUMP PUMPS
When does pump run? 0 Fall ~ummer l3""Spring 0 Winter
(check all that apply) How often does pump run? II-r f., f/--.. '" Y Ii,( " J'
Where does pump discharge to outside? 0 Front l3'13ack 0 Side
-----------.---------.-.-.-.-.-.-----------------------.-----.---------.-----.-.-------------.-.-----------.-.-----.-.-------------
NOTES:
SUMP PUMP SYSTEM:
-
~ASS 0 FAIL You have 30 days to bring your system into compliance with current
regulations. When you are ready for reinspection, call 651/644-1469 for an appointment.
ia"N 0
o Yes
Is there another place where clear water enters the sanitary sewer system?
Where is this location?
This area will need to be fixed so the clear water discharges to the storm sewer system.
.
Inspector: L! ~ _ ~~ ~ Date: !;"- ~ () - r'1
Resident: ?~,,- Date: t;:-J~' 9"1
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