HomeMy WebLinkAboutSump Pump Inspection
City of Prior Lake
Sump Pump and III Reduction
Inspection Form
;11011 frev; // 5AA rot')
Date: 5-2-9CJ
Time: t.j.''-I5 a.m~
Name:
Address: /L/Cft:,o 'S7Orr--.5 CJr
Phone: '1<17 - 5570
First Inspection ~ Second 0
Own: e--Rent: 0 Age of Home:
Residential: ~
Non-Residential: 0
Prior Lake, MN 5537Z
A. BASEMENT ~s 0 No _ _~ SUMP BASKET 0 0 B""'l- 0 2 0 3 0
WATER IN BASKET 0 Yes (91'qo SUMP PUMP ~ 0 1 0 2 0 ~ 0
WATER IN BASEMENT (flow over floor) 0 Yes ~ CISTERN 0 Yes I1J1<fO
(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
o Response to inspection program
o Previous system failed
~ 0 No DISCHARGE: 0 Near ~ay
WINDOW WELLS 0 Yes~
o Other
B.
C.
ROOF LEADERS:
YARD DRAINS
BEAVER SYSTEM
o Yes a--!:!p-
o Yes l1J"""N 0
D.
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
o Winter
o Side
-------------------------------------------------------------------------------------------.-------------------------------.-.-----
NOTES:
SUMP PUMP SYSTEM:~ SS 0 FAIL You have 30 days to bring your system into compliance with current
r ~,7 regulations. When you are ready for reinspection. call 651/644-1469 for ?pointment.
Is there another place where clear water enters the sanitary sewer system? 0 Yes ltVNo
Where is this location?
This area will need ~Xed ~ theelear water discharges to the storm sewer system.
Inspector: , Date: ".5- 2- 9q
Resident:,~ _ t:::~;: l/ 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
Pink: HRG