HomeMy WebLinkAboutSump Pump Inspection
A.
City of Prior Lake
Sump Pump and III Reduction
Inspection Form /lPp~/
Name: a,G'€/JO~ >U-€A/A/Y Date00-99 Time/~a.m.lp.m.
..-
;/""; ,;; (7 I First Insp~n ~Second 0 'r'.
Address: ./06v9 vj(~/A./~ J!;v AIM Own: cr--Rent: 0/ Age of Home: /~..)(..{~~5
1 II Residential: ~ J
Prior Lake, MN 55 S 7Z. Phonq'YO -.26.3~ Non-Residential: 0
~c;;0~,c ~ .
BASEMENT ~ (}-No SUMP~AS 0 0 ...n~ 2 0 3 0
WATER IN BASKET CD'tes 0 No SUMP P ~B"" i 0 2 0 3 0
WATER IN BASEMENT (flow over floor) 0 Yes No 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 sewer
o Other
o Outside
B.
Prior to Inspection:
Whe~ system installed, or most recently modified? (Date)
~ome came with system 0 Response to inspection program
o Water in basement 0 Pr~s system failed
ROOF LEADERS: ~s 0 ~. DISCHARGE: 0 Near ~ ..
YARD DRAINS 0 Yes ~y WINDOW WELLS 0 Yes ~
BEAVER SYSTEM 0 Yes ~o
and why
o Other
C.
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: ~S 0 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 ap~t.
Is there another place where clear water enters the sanitary sewer system? 0 Y es ~
Where is this location? ~
This area will need to ~x~~ clear ?e~charges to the storm sewer syste~.
Inspector: ---e:y. ~/~ ~...,/ . Date: ^/ ~ /0 - 9 ~
Resident: --- /1~ (( Date: -<t'-/O - 9'9
J. ; //I' ~ ,_
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