HomeMy WebLinkAboutSump Pump Inspection
Name: Jv1~ Ic..ll
City of Prior Lake
Sump Pump and III Reduction
Inspection Form
~ 1,-; c ; ~
Address: lj 3 7 7 01-. ; ~ L V ~ -I ~ E
I
Prior Lake, MN 55 J 7.-2 Phone: 4LJ)- !..!:12 f
~ 1"-4..1-
BASEMENT ~ a No
WATER IN BASKET aYes ~
WATER IN BASEMENT (flow over floor)
A.
Date: 7- J 7, q, Time: JJJOa.m./p.m.
First Inspection er" Second 0
Own: t:J Rent: 0 Age of Home:
Residential: ~
Non-Residential: 0
/5/11 S,
/
SUMP BASKET i!J'{) a 1 a 2 a 3 a
SUMP PUMP i3'1f a 1 0 2 0 3 0
aYes I3"NO CISTERN aYes ~
a Laundry tub
a Floor drain
(If no pump, place sticker across edge of sump cover and basement floor so any removal of cover will
brJak seal. Skip to Part B of this form.)
a Sanitary sewer
a Other
a Outside
Discharge Point
at Inspection:
Prior to Inspection:
When was system installed, or most recently modified? (Date)_
and why
a Home came with system
a Water in basement
a Response to inspection program
a Previous system failed
a Other
PROPERnJ!.S WITH SUMP PUMPS
When does pump run? a Fall a Summer a Spring
(check all that apply) How often does pump run?
Where does pump discharge to outside? a Front a Back
B.
C.
ROOF LEADERS:
YARD DRAINS
BEAVER SYSTEM
D.
a Yes~
a Yes ~
a Yes ~
DISCHARGE: a Near a Away
WINDOW WELLS a Yes ~
a Winter
NOTES:
-------------------------------------------------------.-----------------------------------------------------------.---------------
a Side
....e:t15Ass a 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 .et"'No
Where is this location?
This area will need to be fixed so the clear water discharges to the storm sewer system.
....--...
Inspector: ~Ud ~_. :,...---- Date: 7' / 7. '1 r
Resident: . / A. i\orJ n j ( Date: 7 ~ / 7 . 'If
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D~~Ja4Der: 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.
SUMP PUMP SYSTEM:
White: Homeowner
Yellow: City
Pink: HRG