HomeMy WebLinkAboutSump Pump Inspection
J,;'\;
Name:
City of Prior Lake
Sump Pump and III Reduction
Inspection Form ~PP)I
cS1I:~;J l:!. ME ei./lJ Date:-sL17- ~..9 Time/.33G.m./p.m
First Inspe.cK6i~~ ~cond 0 ~
Own: ~Rent. Age ofHome:/ jYl.5
Residential:
Non-Residential: 0
A.
Address:/6780 & KYL; IJE /Iv ).jtJ
Prior Lake, MN 55...37,2) Phone1S!-V'1-688 J
/ ...-
BASEMENT ~ Ll / SUMP BASKET Ll 0 ~ 2 Ll 3 Ll
WATER IN BASKET 17)~'wONo SUMPPUM~ ~;; i 0 2 0 3..,.0
WATER IN BASEMENT (flow over floor) 0 Yes.1Q..M() 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 o Laundry tub 0 Sanitary sewer 0 Outside
at Inspection: o Floor drain 0 Other ---
,"
Prior to pection:
Whe as system installed, or most recently modified? (Date) and why
Home came with system o Response to inspection program 0 Other \
0 Water in basement Ll PreV~ failed .,.
B. ROOF LEADERS: 0 Yes ~ DISCHARGE: Ll Ne~
C. YARD DRAINS 0 Yes~. WINDOW WELLS es 0 No
BEAVER SYSTEM 0 Yes 0
D.
PROPERTIES WITH SUMP PUMPS
When does pump run? 0 Fall 0 Summer 0 ~
(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: ~SS 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 ~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~. e~e clear ~r "charges to the storm sewer syste~.
Inspector:~ ')<f.:f{;~~..-' Date: -<,/-; //'- ~ '7
Resident:j~. ( ~~ "L Date: ~-/7- 9,9
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