HomeMy WebLinkAboutSump Pump Inspection
A.
City of Prior Lake
Sump Pump and III Reduction
Inspection Form NfJl:/ f
Name:.IY{t~/IJQEe. i),4)v/o Date:~8-99 Tim6.000a.m.lp.m.
,/
Q /) 9 . (' /J,e J;/ (1 tJ First Inspestion ~ond 0
Address: ~ I u!-) / A./~ ~K /\ D~4 Own: c:g./'Rent: 0 _ Age of Home: 6 yrE r
2 ; I. /. /y Residential: ~ -.J
Prior Lake, MN 550 7.-0 Phone':7'7' 7- I 76 7 Non-Residential: 0
C,e-,4/w,- :; r ;'l7?!!. . ./'-
BASEMENT ~ 0 No / SUMP BASKET g.-'oA 1 0 2 0 3 0
WATER IN BASKET 0 Yes ~o SUMP PUl\jP" dV() 0 1 P 2 0 3 0
WATER IN BASEMENT (flow over floor) 0 Yes ctJ...MO CISTERN 19"'Yes 0 No
(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
B.
C.
Prior to Inspection:
When ~as system installed, or most recently modified? (Date)
~me came with system 0 Response to inspection program
o Water in basement 0 Previous system failed
ROOF LEADERS: ~O No DISCHARGE: 0 Near ~y
YARD DRAINS 0 Yes ~/ WINDOW WELLS 0 Yes ~
BEAVER SYSTEM 0 Yes o-No
and why
o Other
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
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D.
o Winter
SUMP PUMP SYSTEM:
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
Is there another place where clear water enters the sanitary sewer system?
Where is this location? /1
This area will need to ..9?ff'x~e clear ~r ~harges to. the storm sewer syst~m.
Inspector: ~ . Y~a:L~~- - Date: "'Y; 8'- ~ 57
Resident: "' l11.tuJ):; . ~. ~J A A 1"...;.------/ Date: ~ - 8, ~ )} <3
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