HomeMy WebLinkAboutSump Pump Inspection
City of Prior Lake
Sump Pump and III ~eduction
Inspection Form 1I/.P7
Name: (!.L.AU.5~/\.I (?LAPTI5
,
Date: /tJ-I9'-97Time~g3D a.m~
Address: .L/;l. () I /I tI/l-A! ER / /L. Ale:
Phone~~ tYlt27
First Inspection ~
Own:.Q( ~e~t: 0
Residential: ar
Non-Residential: 0
Second 0
Age of Home:plO.-r
Prior Lake, MN 55
A.
BASEMENT \,( Yes CJ N~ SUMP BASKET CJ 0 )( 1 CJ 2 CJ 3 CJ
WATERINBAfuT o Yes ,l1No SUMUUMP 'if 0 0 1 O--LP 3 0
WATER IN BASEMENT (flow over floor) CJ Yes ~ No CISTkRN CJ Yes )e 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 Outsidel
Prior to Inspection:
When was system installed, or most recently modified? (Date) and why
'c( Home came with system CJ Response to inspection program CJ Other
~ Water in basement 0 Previous system failed
B. ROOF LEADERS: 0 yes)( No DISCHARGE: 0 Near CJ Away
C. YARD DRAINS CJ Y e~ No WINDOW WELLS CJ Yes "sir No
BEAVER SYSTEM CJ Yes)(No '"\
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?
Where does pump discharge to outside? CJ Front CJ Back CJ Side
-~c;iriis~.-Jif'-~~_.-J~~~.-:l'._._.:::._._._._._._-_._._._.-.-----.-.-.-.-.-.-.-.-----.-.-.-.-------.-.-.-.-.---.-.-.-.-
IJI -f
SUMP PUMP SYSTEM: \i PASS 0 FAIL Youhave30daystobringyoursystemintocompfiancewithcurrent
^ 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 \at No
Where is this location? /\.
This area wil~ tOff fixed so t~ater discharges to the storm sewer system. ~
[nspecto~',." ..,-~... ('. Date: . /0-/'/-99
Resident: t: ~V{.;,~ f ))-1)/ f:lJ./JIIt.. Date:
Disclaimer: This vjsual 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