HomeMy WebLinkAboutSump Pump Inspection
City of Prior Lake
Sump Pump and III Reduction
Inspection FOl!!!
Name: f/;!Ic ve~ / IIolvles /nc Date: Z-/~-q<J Time:~'/5 a.m./~
Prior Lake, MN 55:5 72
Phone:
First Inspection Ikr'"
Own: 0 Rent: 0
Residential: 0
Non-Residential: 0
Second 0
Age of Home:
Address: /53''11 ~t'd OAl:s Fo!
A. BASEMENT 0 Yes 0 No SUMP BASKET 0 0 0 1 0 2 0 3 0
WATER IN BASKET 0 Yes 0 No SUMP PUMP 0 0 0 1 0 2 0 3 0
WATER IN BASEMENT (flow over floor) 0 Yes 0 No CISTERN 0 Yes 0 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
o Previous system failed
o Other
B.
C.
ROOF LEADERS:
YARD DRAINS
BEAVER SYSTEM
DYes 0 No
DISCHARGE: 0 Near 0 Away
WINDOW WELLS 0 Yes 0 No
DYes 0 No
DYes 0 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
-~()iriis~'-'~~-'~~:;~-'~~-'-';;~~'-'-'-'-'-'-'-'-'-'-'-'-'-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-
SUMP PUMP SYSTEM:~ASS
o 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 0 No
Where is this location?
This area will need ~ fixe~ so ~e clear water discharges to the storm sewer system.
Inspector: ~~ ~ Date: Z - /<6 - CfC)
Resident: Date:
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