HomeMy WebLinkAboutSump Pump Inspection
A.
City of Prior Lake
Sump Pump and III Reduction
I Inspection Form
Name:. ,t:/A12f'A14J. J:f;J. Date:S-S- 99 Tim/c8.? qmJP.m
. . " Bct:Jcl-/. c.~e .sw
1// ~ // ~;Jr; First Inspect~ond 0 7
Address:/~ ^-tLfb -LJ. "C.L<.. ;::)OO.;J;::; Own: ~ent: 0 /Age of Home:7 )~ e5
:3 -7,2. 1., 7 1-;/ .IfVIResidential: ~
Prior J;lke, MN 55 /~ Phone:'7 ~ - ,-t6V'Non-Residential: 0
( t!':' / J{ (? / ~ /'
f::: {/ we" Iv '- "./' / ~l
BASEMENT ~s 0 N~ SUMP BASKET 0 0 .. . 0 2 0 3 0
WATER IN BASKET ~ ONo SUMPPUl\jP/' 0 1 0 2 0 ~
WATER IN BASEMENT (flow over floor).. o Yes ro..M'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
o Other
o Outside
B.
C.
Prior to Inspection:
When ,?system installed, or most recently modified? (Date)
~me came with system 0 Resp e to inspection program
o Water in basement L9":;5 10US system failed
ROOF LEADE"r\C1 \ ~ Yes ~ '" DISCHARGE: 0 Near ~.
YARD DRAIN~_l\1 0 Yes ~ WINDOW WELLS 0 Yes ~
BEAVER SYSTEM 0 Y es ~
and why
o Other
D.
PROPERn~S 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
o Spring
-
o Winter
o Back
--
o Side
-----.-------------------------.-----------------------------------------------------------------------------------.---------------
NOTES:
./
/'
~SS 0 FAIL You have 30 days to bring your system into compliance with c ent
regulations. When you are ready for reinspection. caI/651/644-1469 for 'Pointment.
Is there another place where clear water enters the sanitary sewer system? 0 Yes
Where is this location? /I
This area will need to b~e~ clear ~r dis ges to the storm sewer system.
Inspector: ~ 7 . (h ./ Date: 5-S- 7' 7
Resident: )"( 1{.nA~ ~l .~---:; Date: ..s - s - '1 ) .
SUMP PUMP SYSTEM:
Disclaimer: This visual inspection is done with due diligence to fmd obvious clear water cross-connections
and does not imply the structure meets all City Codes.
White: Homeowner
Yellow: City
Pink: HRG