HomeMy WebLinkAboutSump Pump Inspection
Name:j)tl&ERL:.V
/
City of Prior Lake
Sump Pump and III Reduction
Inspection FOi!!!
V1Jv10 ~~
Prior Lake, MN 55
Phone:
Date:. /0-/1-97 Time:..;'<r--...a.m@j
First Inspection ~ Second 0
Own: ~ Rent: 0 Age of Home:'?S"1- -
Residential :'i:t
Non-Residential: 0
Address:J'~~ / 5"I'L/NfrL..AKF ib 5~
A. BASEMENT 0 Yes )Q No SUMP BASKET It 0 0 1 0 2 0 3 0
WATER IN BASKET 0 Yes 0 No SUMP PUMP ~ 0 0 1 0 2 0 3 0
WATER IN BASEMENT (flow over floor) 0 Yes ~No CISTERN 0 Yes ~o
(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
Response to inspection program 0 Other
Previous system failed
yes)l No DISCHARGE: 0 Near 0 Away
Yes ~No WINDOW WELLS 0 Yes~ No
Yes)"(No
D. PROPERTIES WITH SUMP PUMPS
When does pump run? 0 Fall 0 Summer 0 Spring 0 Winter
(check all that apply) How often does pump run?
Where does pump discharge to outside? 0 Front 0 Back 0 Side
-NOTES~'-'J.4.l_~----;~-b~;-;'----=--j/~-'-r;;.~-;;:'~~:::;---=---7~-Z:-;:-(7-----------------'-
/
0 Home came with system 0
o Water in basement 0
B. ROOF LEADERS: 0
C. YARD DRAINS 0
BEAVER SYSTEM 0
SUMP PUMP SYSTEM: \,i PASS 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.
Is there another place where clear water enters the sanitary sewer system? 0 Yes ~ No
Where is this location?
This area ~ to ~fixed so the gear ~r discharges to the storm sewer system.
Inspecto~~~~Y Date: /0-//--99
Resident: / Date:
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
"1
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