HomeMy WebLinkAboutSump Pump Inspection
.~ "1 ""~i~\,i!'i>:'i.._'~'~."4~~~'~"""'~1J:
'}.:';";~' ~ ''. ";~ w\' .
1'.",;>0-
~"
City of Prior Lake
Sump Pump and III Reduction
Inspection Form ,,6/;:;p.Jj
Name: HoWl( ~f\1E.5 Dat~-23-99 TimeaO~.m./p.m.
, W
~ -r: / J /i # First Insgyetion ~econd 0
Address:-.?5..29.-f-S,L,QNO VIEt v.l/C.; Own: e' Rent: g. Age of Home: 1/ crf:. ~
3'7''1 J ~ ;: ~ /$',2;8 Residential: IV' J
Prior Lake, MN 55 //J Phone;Y"Yv- Non-Residential: 0
A. BASEMENT ~ 0 j)k( SUMP BASKET 0 (\ ~ 2 0 3 0
WATER IN BASKET ~s ONo SUMPP~ ~a i 0 2 OYTI
WATER IN BASEMENT (flow over floor) 0 Yes ~o CISTERN 0 Yes ~
(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 ---" Outside
o Other
-
Prior to Inspection:
Whe~as system installed, or most recently modified? (Date)
~Home came with system 0 Response to inspection program
o Water in basement 0 Previous systfailed
and why
o Other
B.
C.
ROOF LEADERS: CJ Ye
~ ~1"
YARD DRAINS P~'1L)~ Yes 0 ~/
BEAVER SYSTEM 0 Yes C'1'ro
DISCHARGE: 0 Near 0 ~
WINDOW WELLS o--Yes 0 No
D.
PROPERTIES WITH SUMP PUMPS
When does pump run? 0 Fall 0 Summer 0 Spring
(check all that apply) How often does pump run?
Where does pump discharge to outside? 0 Front 0 Back
o Winter
o Side
-----------------------------------------------------------------------------------------------------------------------------------
NOTES:
./'.,
SUMP PUMP SYSTEM: ~S 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 ~ent.
Is there another place where clear water enters the sanitary sewer system? 0 Y es ~
Where is this location? --
This area will need to b;.AXe~e cle?a.~chargeS to the storm sewer s:ste:n'
Inspector: ~/~rl . Date: ..3-2.3-~'j
Resident: ~/Jl! ~ :( j/ .l/ 1-4J"I//J _ ____' Date: ....3 -23 - ~::J
\ ,
, 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
~-~,-,~----., ._-,----........-......---"-""-'~----~_...........