HomeMy WebLinkAboutSump Pump Inspection
City of Prior Lake
Sump Pump and III Reduction
Inspection FOI!!!
N am~:S:;-~1\I <Sa .;--.t
Date!/-~-7 7
Time: ./ a~1
Second 0
Age of Home: /7
Prior Lake, MN 55
Phone:
First I~ection M
Own: ~ Rent: d
Residential: 'Zf
N on- Reside"ntbtl: 0
Address: .J ~ 1./'0 _S f6f/!;1 6/1'- r:( F
A.
BASEMENT \;ryes 0 No SUMP BASKET ~' 0 0 1 0 2 0 3 0
WATER IN BASidiT 0 Yes 0 No SUMP P.UMP () 0 1 Or.- 0 3 0
WATER IN BASEMENT (flow over floor) 0 Yes "iN? ,CIST RN 0 Yes ~ No
(If no pump, place sticker across edge of sump cove::~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 0 Response to inspection program
o Water in basement 0 Previous system failed
o Yes~ No DISCHARGE: 0 Near 0 ~aY
YARD DRAINS 0 Yes No WINDOW WELLS 0 Yes No
BEAVER SYSTEM 0 Yes No
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
-~()1riis~o~~o~~~-~.~.t:).~._._._o_._._._._._._o_._o_._._.~'_'_'_'_'_'_'_0_._._._._._._.___._._._._._._._._._._._._
o Other
l'
B.
ROOF LEADERS:
C.
D.
o Winter
SUMP PUMP SYSTEM: \ dPASS 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 \. GJ' No
Where is this location? ^ .
This area . ne to be ~ed so~ clear water dischar~to the storm sewer system. \
V Date: II -;;;... -7' 9
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