HomeMy WebLinkAboutSump Pump Inspection
Name:
City of Prior Lake
Sump Pump and III Reduction
Inspection Form
15~vW\~v J C/AvjZ
Date: 5-1 q .q<f
Time: //:J5@p.m.
Address: /5"'777 S /L'j /;;i~ A v
First Insp~ion ~ Second 0
Own: ~ Rent: 0 Age of Home:
Residential: EY'"
Non-Residential: 0
Prior Lake, MN 55'57 Z- Phone: '-jqO- 5615
A. BASEMENT ~~ 0 No SUMP BASKET ~ 0 1 0 2 0 3 0
WATER IN BASKET o Yes B'N'0 SUMP PUMP 9-1f 0 1 0 2 0 3 0
WATER IN BASEMENT (flow over floor) 0 Yes Q1q() CISTERN 0 Yes IWNO
(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
o Home came with system
o Water in basement
o Response to inspection program 0 Other
o Previous system failed
o Yes ~ DISCHARGE: 0 Near 0 Away
o Yes ~/ WINDOW WELLS 0 Yes ~o
o Yes i9"'No
B.
C.
ROOF LEADERS:
YARD DRAINS
BEAVER SYSTEM
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:
rASS
o 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.
o Yes ~o
\
Is there another ace whe clear water enter;::zt nitary sewer system?
Where is thi ocation? . . /
This area 111 need ~ft~e~s~c1e~r te ischarges to the storm sewer system.
Ins~tor:J;t// ~ Date: ~-/~97
Res' ent: ''.f4-d~'''/~'// l/ 1 ~ Date: /
./ '\./'t" ././ .......
I ' .............- - ........
Discl~1fisual inspection is done with due diligence to fmd obvious clear water cross-connections
and does not imply the structure meets all City Codes. ,
//'
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