HomeMy WebLinkAboutSump Pump Inspection
A.
City of Prior Lake
Sump Pump and III Reduction
Inspection Form
Name:#fil..G~/o;:;;1 uE,eey DaterlD-99 TimeIBta.m./p.m.
/ D Cle. SvJ
. / --r' ~e ,qC/--) First Insp~n ~nd 0 1'1 ~
Address:/660v -L.MCZUA DONH Own: ~ Rent:JJ.-- Age of Home: I J es
~ / {( Residential: ~
Prior Lake, MN 55~ 72. Phone:""t.. 7 -2 Cf8Z, Non-Residential: 0
,(otoz.e .~_/' , ~
BASEMENT Mes 0 No / SUMPE?:BASKE, 0 " 0 2 0 3 0
WATER IN BASKET DYes ~ SUMPP ", O~ 0 1 0 2 0>-0
WATER IN BASEMENT (flow over floor) QYes 0 CISTERN DYes e-No,
(If no pump, place sticker aFross 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 ..-0- Outside
o Other
B.
C.
Prior to Inspection: /
When was system installed, or mostFntly modified? (Date)
o Home came with system ~esponse to inspection program
o Water in basement 0 Previous syst failed
ROOF LEADERS: t?ApJ(O DISCHARGE: 0 Near 0 Away
Or.-A ,);:1 , ~
YARD DRAINS l{v 1 Yes L:J NV WINDOW WELLS 0 Yes ~No '
BEAVER SYSTEM U ~~ 0 Yes IlL-H6
PROPERTIES wR~1UMP 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
,..---'
and why
o Other
D.
o Winter
o Back
o Side
NOTES:
.../
SUMP PUMP SYSTEM: ~ 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 appointtylent.
Is there another place where clear water enters the sanitary sewer system? 0 Y es ~
Where is this location?
This area will need to ~xed)i?the clear~te~charges to the storm sewer system.
Inspector: ~ I (~ ~~ Date:.If - j.:j- 't Z'
Resident: ~? LA 1M(;;'#4/1 P Date: I..f - I J .. 99
") -v ,~". I
, ,
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
.~.