HomeMy WebLinkAboutSump Pump Inspection
Name:
A~+-.
/
City of Prior Lake
Sump Pump and III Reduction
Inspection FOIII!
J,t'/m~s
Date: "3'- 2 -9'1
Time: <I: 3'Oa.neJ
Prior Lake, MN 55372
Phone: ij~7- 250Z
First Inspection ~ Second 0
Own: 9""'"'. Rent: 0 Age of Home:
Residential: g.-
Non-Residential: 0
Address:
/5'-127
S-l-etAI1 C I r.
A.
BASEMENT ~ 0 No .
WATER IN BASKET o Yes ~
WATER IN BASEMENT (flow over floor)
SUMPBASKET 0 0 ~O 2 0 3 0
SUMPP~ 0 0 ~O 2 0 3 0
OYes ~o CISTERN OYes C~lo
(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
~de
Prior to Inspection:
When was system installed, or most recently modified? (Date)
and why
o Home came with system
o Water in basement
o Response to inspection program 0 Other
o Previous system failed
o Yes ~ DISCHARGE: 0 Near 0 Away
o Yes ~ WINDOW WELLS 0 Yes ~o
o Yes ~~
B.
C.
ROOF LEADERS:
YARD DRAINS
BEAVER SYSTEM
D. PROPERTIES WITH SUMP PUMPS
When does pump run? 0 Fall 0 Summer 0 ))pring 0 Wipter
(check all that apply) How often does pump run? 1...// At'ALlir r1'"
Where does pump discharge to outside? 0 Front tJ Back ~ide
---------.-----.-------.-.-----------------.-------.-.---.-.---.-------------.-.---------.---.---.-----.-.-------.-.-.-.---------.-
NOTES:
SUMP PUMP SYSTEM: " PASS 0 FAIL You have 30 days to bring your system into compliance with current
r 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 ~.
Where is this location?
This area will need to be~jd so the cle~r water discharges to the storm sewer system.
Inspector: t'\~~;' Date: 5-Z-~<J
Resident: ~~~ Date:
~ .. - (
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