HomeMy WebLinkAboutSump Pump Inspection
City of Prior Lake
Sump Pump and III Reduction
Inspection Form
Name: 8uc.keye.) KOhAld Date:2.-r!-9C; Time: 5.45 a.m~
Address: ) '11 <6/ J1y I-c:. PI. CI r .
Phone: Lp11- <-/5"59
First Inspection ~Second 0
Own: 0 Rent: g--Age of Home:
Residential: 0
Non-Residential: 0
Prior Lake, MN 55 '372..
A. BASEMENT 0 Yes 0 No SUMP BASKET 0 0 0 1 0 2 0 3 0
WATER IN BASKET 0 Yes 0 No SUMP PUMP 0 0 0 1 0 2 0 3 0
WATER IN BASEMENT (flow over floor) 0 Yes 0 No CISTERN 0 Yes 0 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
o Previous system failed
o Other
B.
C.
ROOF LEADERS:
YARD DRAINS
BEAVER SYSTEM
DYes 0 No
DISCHARGE: 0 Near 0 Away
WINDOW WELLS 0 Yes 0 No
DYes 0 No
DYes 0 No
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: ~ASS 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 Q"'No
Where is this location?
~;::ill ~:;;; a :~:: d~charg~ 00 me ~onng;er ;~;~ W
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
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Pink: HRG
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