HomeMy WebLinkAboutSump Pump Inspection
City of Prior Lake
Sump Pump and III Reduction
Inspection FOIIII
AAd lAnd , /Z; I p,; t1 e.
Prior Lake, MN 555/"L
Phone:
Date: ~- /7-q1 Time 5": 00 a.m~
f) A ~ C' First Insp~on ~Second 0
ceAC I r. Own: Ilr' RentyfJ Age of Home:J!11.j
Residential: gr
Non-Residential: 0
Name:
Address:
It, 471 /r71~114
A. BASEMENT ~es a No SUMP BASKET a1i ---p 1 a 2 a 3 a
WATERINBASKET aYes ~ SUMPPUMP ctrl) a 1 a 2 a~ a
WATER IN BASEMENT (flow over floor) 0 Yes ~ CISTERN 0 Yes l3"No
(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:
a Laundry tub
a Floor drain
a Sanitary sewer
a Other
a Outside
Prior to Inspection:
When was system installed, or most recently modified? (Date)
and why
B.
C.
ROOF LEADERS:
YARD DRAINS
BEAVER SYSTEM
a Response to inspection program a Other
o Previous system failed
a Yes ~ DISCHARGE: a Near ~way
o Yes a No WINDOW WELLS 0 Yes lB'1"fo
o Yes a No
a Home came with system
o Water in basement
D.
PROPERTIES WITH SUMP PUMPS
When does pump run? a Fall a Summer 0 Spring
(check all that apply) How often does pump run?
Where does pump discharge to outside? a Front 0 Back
a Winter
o Side
---.-------------------------------------------------------------------------------------.---------------------.---.-.-----.---.-.-
NOTES:
SUMP PUMP SYSTEM:
&SS
o FAIL You have 30 days to bring your system into compliance with current
regulations. When you are ready for reinspection. cali 651/644-1469 for an appointment.
Is there another place where clear water enters the sanitary sewer system? 0 Yes IB'1f<)
Where is this location?
This area will need to b~d so the cle}r water discharges to the storm sewer system.
Inspector: /~ /~ _ Date:. "3 -/7- 97
Resident: tfiL- -a-. ~I' ~ Date:
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