HomeMy WebLinkAboutSump Pump Inspection...~' L t ~ ' l {4 ~ ~,,..~ C..~ ~L
. ~,
~~ ~~ PRtp~~
~ ~ City of Prior Lake
Sump Pump and I/I Reduction
Insvection Form
Name: ,~.P_.~/~ S~ ;~AV1~ ~ ~Ar l~aA~'~l
Date: 2- J i-99 Time: 3~ s~ a.m.~
Address: ~~~~3 ~~•~~`~E'-l~ C~~
Prior Lake, MN 55 3 72 Phone: y~0 - 69 79
First Inspection t~ Second Q
Own: f~YRent: ~ Age of Home:
Residential: ~
Non-Residential: ~
A. BASEMENT ~es O No SUMP BASKET ~~ 1~ 2 ~ 3 I~
WATER IN BASKET ~ Yes Q No SiJMP PUMP 0~ 1 ~ 2 ~ 3 ~
WATER IN BASEMENT (flow over floor) Q Yes I~'No CISTERN a Yes ~10
(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 17 Outside
at Inspection: U Floor drain d Other
Prior to Inspection:
""'r When was system installed, or most recently modified? (Date) and why
' O Home came with system O Response to inspection program ~ Other
~ Water in basement ~ Previous system failed
R
OF
EADER5 '4~Y
~ N C1 N
DISCHARGE L'J A
:
B.
O
L L es
a ear
: way
C. YARD DRAINS ~ Yes ~o WINDOW WELLS ~ Yes C~No
BEAVER SYSTEM ~ Yes No
D. PROPERTIES WITH SUMP PUMPS
When does pump run? ~ Fall ~ Summer D Spring 17 Winter
(check all that apply) How often does pump run?
Where does pump discharge to outside? ~7 Front O Back 17 Side
NOTES:
SUMP PUMP SYSTEM: SS O FAIL You have 30 days ta bring your system into compliance wUh curtent
regulations. When you are ready for reinspection, call 651 /644-1469 for an appointment.
Is there another place where clear water enters the sanitary sewer system? ~ Yes L~No
Where is this location?
This area will need to be fixed so the clear water discharges to the storm sewer system.
Inspector: Date: Z ' / ~ - '~~
Resident: ,!~ _ ~ _ Date:
s
Disclaimer: This visual inspection is done with due diligence to find obvious clear water cross-connections
and does not imply the structure meets all City Codes.
White: Homeowner Yellow: City Pink: HRG