HomeMy WebLinkAboutSump Pump Inspection
City of Prior Lake
Sump Pump and III Reduction
Inspection Form
Name:~(:\Cf c (on. 0; cd' I
,
Date: 7- /7- 91 Time: /t/o a.m.lp.m.
Address: '1:J 0 7 Q 4 C\ r. ~ r Ti I. IV E
Phone: Lf Lf 0 - 9.2 <( 7
First Inspection r:r- Second 0
Own: e-Rent: 0 Age of Home:3S-
Residential: Id-
Non-Residential: 0
Prior Lake, MN 5527:2
A.
vJ. (lro", t-
BASEMENT ~s 0 No
WATER IN BASKET 0 Yes CJ-NO
WATER IN BASEMENT (flow over floor)
SUMP BASKET e1'O 0 1 0 2 0 3 0
SUMP PUMP 9'1Y 0 1 0 2 0 3 0
o Yes ~ CISTERN 0 Yes r3-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)
o Home came with system
o Water in basement
and why
B.
C.
ROOF LEADERS:
o Response to inspection program
o Previous system failed
~s 0 No DISCHARGE: 0 Near ~ay
/(')
WINDOW WELLS ~~o
o Other
YARD DRAINS
BEAVER SYSTEM
o Yes ~
o Yes I3-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:
er1>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 ~o
Where is this location?
This area will n~to be fixed so ~ clear water discharges to the storm sewer system.
Inspector:' U4~-- Date:_7-lj-97
Resident: /' 4-;1/ -'S,\4- " Date: 7 - /7- CJ'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