HomeMy WebLinkAboutSump Pump Inspection
City of Prior Lake
Sump Pump and III Reduction
Inspection Form
Name: Df fv1a((1,
R 0 h~{ + J- f1t1iI'; Jv.".
I
Date: 7- 2 '-/- '1 '1 Time:J./JO a.m./p.m.
Address: /6!:76 1!J6f.1ADofJA- 1J..~L (IT?.
Prior Lake, MN 55"37 J.. Phone: Lj 97-6 f"t ,
First Inspection ~econd 0
Own: e--Rent: 0 Age of Home:.,7..2 II(J.
Residential: e-- /
Non-Residential: 0
A.
vJ~ 10....~
BASEMENT ~ 0 No SUMP BASKET I31f 0 1 0 2 0 3 0
WAl~A IN BASKET 0 Yes 0 No SUMP PUMP l?1) 0 1 0 2 0 3 0
WATER IN BASEMENT (flow over floor) 0 Yes EJ1q() CISTERN 0 Yes C-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:
o Laundry tub
o Floor drain
o Sanitary sewer
o Other
o Outside
Prior to Inspection:
When was system installed, or most recently modified? (Date)
and why
o Home came with system
o Water in basement
o Response to inspection program 0 Other
o Previous system failed
o Yes ~ DISCHARGE: 0 Near 0 Away
o Yes ~ WINDOW WELLS 0 Yes ~
o Yes ~
B.
c.
ROOF LEADERS:
YARD DRAINS
BEAVER SYSTEM
D.
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
o Side
---------------------------------.---------.-.-------------.---.-----.---.---------.-----------.-------------.-----.-------.-.-.---
NOTES:
SUMP PUMP SYSTEM:
riss 0 FAIL You have 30 days to bring your system into compliance with current
regulations. When you are ready for reinspection, cau651/644-1469 for an appointment.
Is there another place where clear water enters the sanitary sewer system? 0 Y es ~
Where is this location?
This area will need to be fixed so the clear water discharges to the storm sewer system.
Inspector: ~ ~ J,J YV _ Date: 7 -;:; ii_ ., 9
Resident: ~~hP~j/ /va-.l/1//d../'P!--'./' Date: 7-79-'9
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