HomeMy WebLinkAboutSump Pump Inspection
City of Prior Lake
Sump Pump and III Reduction
Inspection Form
Nam.;;zJU:i <10 v: E tJ /</0/'1 E w.<!..s-.es Dat0-30- ~ime/ / oo..m.lp.m
Address:/.5755 SKY.LJu-e Nv AltJ
Prior Lake, MN 55372 Phone:
First Inspection ~cond 0
Own: ~nt: 0 Age of Home:
Residential: 0
Non-Residential: a---
A. BASEMENT a Yes~.-.-- SUMP BASKET ~~ 1 a 2 a 3 a
WAu,RINBASKET aYes (;}'No SUMPP~ ~a 1 a 2 a 3 LJ
WAu..R IN BASEMENT (flow over floor) a Yes D1<fO CISTERN a 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:
LJ Laundry tub
LJ Floor drain
LJ Sanitary sewer LJ Outside
a Other -
Prior to Inspection:
When was system installed, or most recently modified? (Date)
-
and why
LJ Home came with system
LJ Water in basement
o Response to inspection program 0 Other
LJ Previous sy, failed
o Yes ~ DISCHARGE: 0 Near 0 Away
o Yes ~ WINDOW WELLS 0 Yes ~
LJ Yes ~o
B.
C.
ROOF LEADERS:
YARD DRAINS
BEAVER SYSTEM
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 0 Side
-NOTES~'-.;1JO"",i;':;-'-Z;;;;:;o;Zi~'-'-I'n'c.-;;;c-'-IQ:e~~'-'-::-'-'m'-'-o;e:qj"i.7-'-'-
---,;: € $ o.e S 4 /0..1 S Ii t..J ' Co AI A../ e- c 7/ 0 A./ ..r
SUMP PUMP SYSTEM: ~ 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.
~
D.
o Winter
Is there another place where clear water enters the sanitary sewer system?
Where is this location? /7
This area will need to ~IX~6 the clear yater ~arges to the storm sewer system.
Inspector: ~.//?~t.i-~ Date: ..:5-30-7"~
Resident:.;" r P' Date:
o Yes
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