HomeMy WebLinkAboutSump Pump Inspection. i~,~/~t~'.k~MA.tI ~D~~~GA.S~ Dat~:.~~.~-g~ Tim~~~J a.m./p.m.
Name • ~
/~~QS ~ ~ ~~. First Inspe~tion Second ~
Address:'~~~9 f~ Own: ~ ReLn~t• Age of Home:~~`~
,_ ,/ Residential: L~ .J
Prior Lake, MN 55 ~~~ Phone~"~' 7 c'~~/ ~ Non-Residential: ~
~ vT/ ~v c., iC,. ~
A. BASEMENT es Q No ~ SIJMP BASKET ~~ 1~ 2 ~ 3 ~
WATER IN BASKET O Yes o SUMP ~P~ 0~ 1 ~ 2 O 3 ~
WATER IN BASEMENT (flow over floor) ~ Yes ~' N o CISTERN O Yes L q' N~ o
(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 ~ Laundry tub ~ Sanitary sewer ~~ Outside
at Inspection: ~ Floor drain ~ OtY~er
~...-
Prior to Inspection:
When was system installed, or most recently modified? (Date) and why
~ Home came with system ~ Response to inspection program ~ Other
~ Water in basement ~Q Pre ' us system failed
B. ROOF LEADER .. ~~~ es I~ No DISCHARGE: ~ Near I~'Awa
~~ ~ y
C. YARD DRAINS ~ Yes 19~`~N WINDOW WELLS ~ Yes ~o
BEAVER SYSTEM ~ Yes I~'"No
D. PROPERTIES WITH SUMP PUMP5
When does pump run? ~ Fall ~ Summer ~ Spring ~ Winter
(check all that apply) How often does pump run? °
V~here does pump discharge to outside? ~ Front ~ Back O Side
NOTES: ---"
SUMP PUMP SYSTEM: L~ASS 17 FAIL You have 30 days to bring your system into compliance with current
regutations. When you are ready for reinspection, call 651/644-1469 for an appoi ent.
Is there another place where clear water enters the sanitary sewer system? ~ Yes o
Where is this location?
This area will need to fix~ the clea ate~ischarges to the storm sewer system.
Inspector: •
Resident: _ , ,~
Date: .,.~ -.G~ -
Date:
I Disclaim~r: fiti3s visual inspection is done with due diligence to find obvious clear water cross-connections I
and does not imulv the structure meets all Citv Codes.
White: Homeowner
Yellow: City
Pink: HRG