HomeMy WebLinkAboutSump Pump Inspection
t.
City of Prior Lake
Sump Pump and III Reduction
Inspection Form
)I( ,;::;;e ~ Da~ -3?- 99 TimJ6 ~m./p.m.
Name: 4;soJ
~ ~
Addres~ $P2J ~7 L/~ RL>
Prior Lake, MN ss3 7,Z Phoneflijo .2e& .3
First Inspection ~Second 0 "J /
Own: ~Rent: 0 Age ofHome:5'1C{t;r
Residential: ~ J
Non-Residential: 0
A.
BASEMENT ~ No. ~
WATER IN BASKET 0 Yes ~o
WATER IN BASEMENT (flow over floor)
SUMPBASKET ~ 1 0 2 0 3 0
SUMP ;PUl\jll I1J.1) 0 1 0 2 0 3 0
o Yes ~ 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
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
~~ )9- DISCHARGE: CI Near ~
o Yes ~ ~ WINDOW WELLS ~. No
o Yes ~o
o Home came with system
o Water in basement
D.
PROPER. U!.S WITH SUMP PUMPS
When does pump run? 0 Fall 0 Summer 0 ~ing
(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
;J regulations. When you are ready for reinspection, call 6511644-1469 for an~.
Is there another place where clear er enters the sanitary sewer system? 0 Yes ~o
Where is this locati~~ / /"
This area will need~ /~' he c1re? discharges to the stonn sewer sys~m.. . .
Inspecto~?11i rr- z::::::::- Date: ...::r ~ 0- Y 1
Resident:.) / / / j ~ Date: J-....;O . 1 I
\ ~, II ,
,
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
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