HomeMy WebLinkAboutSump Pump Inspection
City of Prior Lake
Sump Pump and III Reduction
Inspection Form
Name:KLA d t', /'v1 t.ti /.. -4 D-b(.,.
Date: ~-- 2 I ~ <iff Time: /600 a.m./p.m.
Address: /)/.J 4 S lry /,''''-1 Avt'. )Jw
Prior Lake, MN 55 J7L Phone: I../L(0-;21/9
First Inspection ~ Second 0
Own: ~Rent: 0 Age of Home: /~-
Residential: r7""
Non-Residential: 0
A.
vJp/4.J~f
BASEMENT I3'fes 0 No
WATER IN BASKET 0 Yes 0 No
WATER IN BASEMENT (flow over floor)
SUMP BASKET ~ 0 1 0 2 0 3 0
SUMP PUMP c:r() 0 1 0 2 0 3 0
DYes I3"NO CISTERN 0 Yes b 1"0
(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
B.
C.
ROOF LEADERS:
YARD DRAINS
BEAVER SYSTEM
o Response to inspection program 0 Other
o Previous system failed
~es 0 No DISCHARGE: ~r 0 Away
.....
o Home came with system
o Water in basement
o Yes ~ No
o Yes ~
WINDOW WELLS 0 Yes e--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
NOTES:
SUMP PUMP SYSTEM:
et1>Ass 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 appointment.
Is there another place where clear water enters the sanitary sewer system? 0 Y es ~o
Where is this location?
This area will need to be fixed so the clear water discharges tP the storm sewer system.
Inspector: ~f ivv1 ~/ " Date: f, -1 /. '1 j
Resident: '. .D (C"'! ~ ~-M. T~ Date: _4/' Z /- '1 "j
Disclaimer: This visual inspection is done with due diligence to find obvious clear water cross-connections
and does not imply the structure meets all City Codes.
White: Homeowner
Yellow: City
Pink: HRG