HomeMy WebLinkAboutSump Pump Inspection
City of Prior Lake
Sump Pump and III Reduction
Inspection FOIII!
Name:
/I),N& ,-.
Prior Lake, MN 55
Phone:
Date:.9-/-77 Time: /~p.m.
First II!~ection ri( Second 0
Own: 2f Rent: 0 Age of Home:
Residential:~
Non-Residential: 0
Address:}s:;.. t./ J( /JeD b4~
A. BASEMENT 0 Yes ]If No SUMP BASKET k 0 0 1 0 2 0 3 0
WAuJR IN BASKET o Yes ONo SUMP PUMP ~O 0 1 0 2 0 3 0
WATER IN BASEMENT (flow over floor) 0 Yes ;.,(No CISTERN 0 Yes )tNo
(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 ~ No DISCHARGE: 0 Near 0 Away
o Yes ~No WINDOW WELLS 0 Yes 0 No
o Yes KNo
B.
C.
ROOF LEADERS:
YARD DRAINS
BEAVER SYSTEM
D. PROPERTIES WITH SUMP PUMPS
When does pump run? 0 Fall 0 Summer 0 Spring 0 Winter
(check all that apply) How often does pump run?
-NOTES~~.r~tJ;;;~~~.:~Zi>-.;::~._._._._~._~~~_._._._._~.-~~~_._._._._._._._._._.-
SUMP PUMP SYSTEM:
~ PASS
o 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.
~NO
DYes
Is there another place where clear water enters the sanitary sewer system?
Where is this location?
This area will~ to itxed so the clear wa~ischarges to the storm sewer system.
Inspector:l.-fJ-t~..#~ &i Date: .9'-/-.9..~'
Resident: \. ~ 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