HomeMy WebLinkAboutSump Pump Inspection
City of Prior Lake
Sump Pump and III Reduction
Inspection Form
Name:
+rAZJr r
./
Date'. 3-2- q'l . . '1.'00 /~
TIme.. a.m./~
Address: /5" b sQ Sky ~ ~ e
Prior Lake, MN 55".?7'Z Phone: 1./47 ...{/153
First Inspection llY'" Second 0
Own: IJY'" R~n!yO Age of Home:J18 ~
Residential: lJ'"
Non-Residential: 0
A.
BASEMENT ~ CJ No
WATER IN BASKET ~ CJNo
WATER IN BASEMENT (flow over floor)
SUMP BASKET ~?~ CJ 2 CJ 3 CJ
SUMP P~ ~ CJ 1 CJ 2 CJ 3 CJ
CJ Y es ~o CISTERN CJ Yes !J-N()
(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:
CJ Laundry tub
CJ Floor drain
CJ Sanitary sewer
CJ Other
CJ Outside
Prior to Inspection:
When was system installed, or most recently modified? (Date)
_ and why
CJ Home came with system
CJ Water in basement
CJ Response to inspection program CJ Other
CJ Pr~ system failed
~s CJ No DISCHARGE: CJ Near ~y
CJ Yes~. WINDOW WELLS CJ Yes CJ No
CJ Yes erNo
B.
ROOF LEADERS:
YARD DRAINS
BEAVER SYSTEM
C.
D.
PROPERTIES WITH SUMP PUMPS
When does pump run? CJ Fall CJ Summer CJ Spring
(check all that apply) How often does pump run?
Where does pump discharge to outside? CJ Front CJ Back
CJ Winter
CJ Side
-----.-.-.-----------.-.-.-.-----------------------.-.-----------------------------------.-.-----------.---------------------.-.---
NOTES:
SUMP PUMP SYSTEM:
:;'fi(,t ASS
CJ 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.
~-
DYes
Is there another place where clear water enters the sanitary sewer system?
Where is this location?
This area will need to be
1
Inspector:
Resident:
Date:
Date:
5~L-'?CJ
ed so the clear water discharges to the storm sewer system.
Disclaimer: This visual inspection is done with due diligence to rmd obvious clear water cross-connections I
and does not imply the structure meets all City Codes.
White: Homeowner
Yellow: City
Pink: HRG