HomeMy WebLinkAboutSump Pump Inspection
~
tJ~
~
~'
'\
,,:.#11-,
City of Prior Lake
Sump Pump and III Reduction
Inspection FOll11
Name: &t1 'Z, L Q 'I" r I' e
Date: 7-.1). 79 Time: / 7/() a.m./p.m.
Address: 1>6 ~o SIcy /'Vlc Av. NvJ
Prior Lake, MN 55 J 7.:L Phone: 4LJ 7. If/j-7
First Inspection ~ Second 0
Own: ~Rent: 0 Age of Home: J 7 Yr 1.
Residential: G-'
N on-Residential: 0
A.
BASEMENT ~s CJ No SUMP BASKET CJ 0 ~ CJ 2 CJ 3 CJ
WATER IN BASKET 0 Y es ~ SUMP PUMP 13""() LJ 1 LJ 2 LJ 3 LJ
WATER IN BASEMENT (flow over floor) LJ Yes ~ CISTERN LJ 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:
CJ Laundry tub
LJ Floor drain
CJ Sanitary sewer
LJ Other
CJ Outside
Prior to Inspection:
When was system installed, or most recently modified? (Date)
and why
CJ Home came with system
LJ Water in basement
CJ Response to inspection program
LJ Previous system failed
CJ Other
B.
C.
ROOF LEADERS:
YARD DRAINS
BEAVER SYSTEM
~s CJ No
CJ Yes Et"ffo
CJ Yes ~
DISCHARGE: ~ar CJ Away
WINDOW WELLS ~ LJ No
D.
PROPERTIES W liD SUMP PUMPS
When does pump run? LJ Fall CJ Summer LJ Spring
(check all that apply) How often does pump run?
Where does pump discharge to outside? CJ Front LJ Back
CJ Side
LJ Winter
-----------------------------------------------------------------------------------.-----------------------------------------------
NOTES:
~S LJ 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 Cl-'NO
Where is this location?
This area will need to be fixed so the clear water discharges to the storm sewer system.
Inspector:-L)Aj M~ _ Date: / - :)..2- 9 {
Residentr~ ~ ~ ;-0 J~ Date: ?- ,2..1, err
- L.J -
,-
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.
SUMP PUMP SYSTEM:
White: Homeowner
Yellow: City
Pink: HRG