HomeMy WebLinkAboutSump Pump Inspection
A.
City of Prior Lake
Sump Pump and III Reduction
Inspection FOIIIl Il;;p.l ~
Name:qe/MA1.Ge; Q1'/5v,erA.!. Da~J.9~ Timj/C3Q.mJpm.
, 1 /) _ ~ J / First Il!sp~ion ~nd 0 -t
Address:7"30J GYa,.crK.e:.e Ie. AIlE" Own: VRent:)J Age of Home:Z5'(fIl$-
..; r/Z / I 1'-7. 1/ / / Residential: IZ)""'" ...)
Prior L,ake, MN 55"::> /" P~oneg~ ~ -7b~f:7 Non-Residential: 0
/~1_A I / /
~ (/f.,AJc/<!.. ~ . /" /'
BASEMENT iIJ'1"es 0 NO. /' SUMP~ASKE ~yo 1 0 2 0 3 0
WATER IN BASKET 0 Yes &No SUMP P {f!( 0 0 1 0 2 0 3 0
WATER IN BASEMENT (flow over floor) 0 Yes 0 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 sewy- 0 Outside
o Other
Prior to Inspection:
When was system installed, or most recently modified? (Date)
--
and why
o Home came with system 0 Response to inspection program 0 Other
o Water in basement ,~U;VP:;YiOUS system failed /'~
ROOFLEADE~~q,.{ O"Yes 0 " DISCHARGE: 0 Near &"Away
YARD DRAINS '\ LJ Yes ~Ny WINDOW WELLS 0 Yes ~
BEAVER SYSTEM 0 Yes UO
D. PROPERTIES WITH SUMP PUMPS
When does pump run? 0 Fall 0 Summer 0 Sr:u6' 0 Winter
(check all that apply) How often does pump run?
Where does pump discharge to outside? 0 Front 0 Bac~ 0 Side
B.
C.
-----------.-.---.-----.---------.-----.---------.-------------.-----------------.---.-----------.-.---------.-.-----.-----.-------
NOTES:
o FAIL You have 30 days to bring your system into compliance with rrent
regulations. When you are ready for reinspection, call 651/644-1469 for appointment.
Is there another place where clear water enters the sanitary sewer system? 0 Yes 0 No
Where is this locatiOn?i/7 -
This area will need to b x~~e cleary<ter ~ges to the storm sewer Sys':.P': .
Inspector: :;::;!( /. Y;41lP-:1//;:::k~ Date: "7';.2 /- 9 9
Reside~ ~:J1.lL:JJ. tJi.j/..Ji~} . Date: "Y- 2 7- ~9
/
~ASS
SUMP PUMP SYSTEM:
Disclaimer: This visual 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