HomeMy WebLinkAboutSump Pump Inspection
City of Prior Lake
Sump Pump and III Reduction
Inspection Form
Name: 0/.: 0 V'\ I
---
/ () ..-"'VI
Date: S - f~ '/9 Time: JJ J 0 a.m./p.m.
Address: /6'/1 V /N0~ADoN4 /S....c,cL. (If? )lA
Prior Lake, MN 55) 7-2- Phone: 'iLI)- 6",), 'It
First Inspection ~ Second 0
Own:~ Rem: 0 AgeofHome:~-1
Residential: ~
Non-Residential: 0
A.
BASEMENT o Yes ~
WATER IN BASKET 0 Yes 0 No
WATER IN BASEMENT (flow over floor)
SUMP BASKET iTO. 0 1 0 2 0 3 0
SUMP PUMP l?"'o 0 1 0 2 0 3 0
o Yes o..NO 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
"{~ Inspection:
Prior to Inspection:
When was system installed, or most recently modified?
o Laundry tub
o Floor drain
o Sanitary sewer
o Other
o Outside
(Date)
and why
B.
C.
o Home came with system 0 Response to inspection program 0 Other
o Water in basement 0 Previous system failed
Jo-fI".1 _L
ROOF LEADERS: I l3'Yes 0 No DISCHARGE: l$"Near 0 Away
YARD DRAINS 0 Yes ~ WINDOW WELLS 0 Yes l3"No
BEAVER SYSTEM 0 Yes ~o
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
D.
o Side
-.-.-.-.---.-------.-.---.-----------.-.-------------.-.-.-.---.-.-------------.-.-.-------------.-.-.-.---.---------.-----.-------
NOTES:
SUMP PUMP SYSTEM:
./
~SS 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 appointment.
Is there another place where clear water enters the sanitary sewer system? 0 Yes ~o
Where is this location?
This area will n~e .~xed so th~ clear water discharges to the storm sewer system.
Inspector: !/:,A~.(' !y/tJr"y _____ Date: r~p> - q '1'
Resident: -v...-. \ ~(--- Date: r cf - '71
,
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