HomeMy WebLinkAboutSump Pump Inspection
Name:
s-lt"e r,
-'
City of Prior Lake
Sump Pump and III Reduction
Inspection FOI!!!
DoMId
Prior Lake, MN 55172..
Phone:
Date:, 3- 'I ~ c;cr Time: ?: 00 a.m€i0
First Inseection ~ Second 0
Own: 0" Rent:jj Age of Home:/)?' I JY:S
Residential: ~ ---r-
Non-Residential: 0
Address: II:, 5<? g /?/J f'V1~ey fJ Ie 5 N
A.
BASEMENT ~s 0 No /
WAl~R IN BASKET 0 Yes UNo
WATER IN BASEMENT (flow over floor)
SUMP BASKET rio 1 0 2 0 3 0
SUMPP~ W'Q' 0 1 0 2 0,) 0
o Yes p.No CISTERN 0 Yes p-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)
and why
o Home came with system
o Water in basement
o Response to inspection program 0 Other
o Previous system failed
o Yesd DISCHARGE: 0 Near 0 Away
o Yes ~~ WINDOW WELLS 0 Yes ~
o Yes B"No
B.
C.
ROOF LEADERS:
YARD DRAINS
BEAVER SYSTEM
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 :~SS 0 FAIL You have 30 days to bring your system into compliance with current
regulations. When you are ready for reinspection. caI/651/644-1469 for !)!J4pointment.
Is there another place where clear water enters the sanitary sewer system? 0 Yes 2(' No
Where is this location?
This area will need to be fixed so the clear water discharges to the storm sewer system.
/)/ .
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,
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
.~