HomeMy WebLinkAboutSump Pump Inspection
Name: .ft, )/1';; I
City of Prior Lake
Sump Pump and III Reduction
Inspection Form
Df lor;S
Address: V~:;, 0 ()41:. "; 7,'. IV E
Phone: t.;t;o-l.J t I
Prior Lake, MN 55 37,~
Date: ?--/y- 71 Time:/.fvra.m.lp.m.
First Inspection ~ Second 0
Own: 0 Rent: e- Age of Home: t OWl.
Residential: Q.--- /
Non-Residential: 0
..
A. BASEMENT 0 Yes ~ SUMP BASKET .eJ1) 0 1 0 2 0 3 0
WATER IN BASKET 0 Yes l3-fq'Q SUMP PUMP (31) 0 1 0 2 0 3 0
WATER IN BASEMENT (flow over floor) 0 Yes 8'1'ro CISTERN 0 Yes ~
(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
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
B.
C.
ROOF LEADERS:
Y ARB DRAINS
BEAVER SYSTEM
D.
NOTES:
DYes E:t"'N" 0
DYes e1"No
o Yes~
DISCHARGE: 0 Near 0 Away
WINDOW WELLS 0 Yes 0 No
o Winter
o Side
~S 0 FAIL You have 30 days to bring your system into compliance with current
regulations. When you are ready for reinspection. call 6511644-1469 for an appointment.
Is there another place where clear water enters the sanitary sewer system? 0 Yes .9'No
Where is this location?
This area will need to be fixed so the clear water discharges to the storm sewer system.
... .
Ins~ector: ! ~~ h-V--;t- ___ Date: ,j' - I J - 77
ReSIdent: T"J .__~,..., \d._ on. Date: ~- /.J - 9'7
,
SUMP PUMP SYSTEM:
Disclaimer: . This visual inspection is done with due diligence to find obvious clear water cross-connections
and does not imply the structure meets all City Codes.
I
White: Homeowner
Yellow: City
Pink: HRG