HomeMy WebLinkAboutSump Pump Inspection
Name: l^)e~ k;
City of Prior Lake
Sump Pump and III Reduction
Inspection FOI!!! A1JP-t .
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LC't'YJ d (~J,c,('; IYh
Date: E;- /' r 9 Time: 0'100 a.m./p.m.
First Inspection g./ Second 0
Own: a-- Rent: 0 Age of Home: t.; ()
Residential: 9-
Non-Residential: 0
Address: :2 '1 :; /; ~vr: J L h t: P f) ":w
Prior Lake, MN 55 J 7~
Phone: '-/'-17- rt96J-
BASEMENT ~es 0 No
WATER IN BASKET 0 Yes Id-No
WATER IN BASEMENT (flow over floor)
SUMP BASKET 0 0 ~ 0 2 0 3 0
SUMP PUMP I2t"O 0 1 0 2 0 3 0
o Yes l3-No CISTERN 0 Yes 13"N"0
A.
(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
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
B.
ROOF LEADERS:
YARD DRAINS
BEAVER SYSTEM
C.
D.
o Response to inspection program 0 Other
o Previous system failed
eYYes 0 No DISCHARGE: 0 Near er--Away
o Yes ~o WINDOW WELLS er--Yes 0 No
o Yes f3'No
o Winter
o Side
-~()ir~s~'-'-'~~~~~-'-'-~-';'~-~::"~-'-';;~~~~'-'-~-~:;-'-'7;:':;-'-'~~~-i~'-'-'~'-~~~~-~-;~'-'~-'-';'~~'-'-'-'-'-'-.-
SUMP PUMP SYSTEM:
~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.
B"'"N 0
Is there another place where clear water enters the sanitary sewer system? 0 Yes
Where is this location?
This area will need to be fixed so the clear water discharges to the storm sewer system.
Inspector: ---. L-Jd /;/L~.Q '':''""'Z.-- Date: S--;. J r
Resident: :d -.-....-. A.../ ~ Date: ~'I' 7 'i
I
Disclaimer: This visual inspection is done with due diligence to fmd obvious clear water cross-connections
and does not imply the structure meets all City Codes.
White: Homeowner
Yellow: City
Pink: HRG