HomeMy WebLinkAboutSump Pump Inspection
City of Prior Lake
Sump Pump and III Reduction
Inspection Form
Name: D 1,0"', lrl""y ~ <:
Date: 5 - / - '1 7 Time: /j 00 a.m.lp.m.
Address: tjrJ1 ~ iJ(Aj()JA /Jr; J0( (/P }J E.
First Inspection 13"" Second 0
Own: er-Rent: 0 Age of Home: /7
Residential: 9'"'
Non-Residential: 0
Prior Lake, MN 55 ] 7J Phone: /../(/7-ILf'-/ I
A.
vJ"'!"'" t
BASEMENT l3fes a No
WA.J!.K IN BASKET a Yes a No
WATER IN BASEMENT (flow over floor)
SUMP BASKET cr'()' a 1 a 2 a 3 a
SUMP PUMP ~o a 1 a 2 a 3 a
a Yes CJ1Ito CISTERN a Yes EtNo
(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:
a Laundry tub
a Floor drain
a Sanitary sewer
a Other
a Outside
Prior to Inspection:
When was system installed, or most recently modified? (Date)
and why
B.
C.
ROOF LEADERS:
YARD DRAINS
BEAVER SYSTEM
a Response to inspection program a Other
a Previous system failed
~es a No DISCHARGE: a Near ~way
aYes ~o WINDOW WELLS aYes 13"'N'0
a Yes ~o
a Home came with system
a Water in basement
D.
PROPER. u-S WITH SUMP PUMPS
When does pump run? a Fall a Summer a Spring
(check all that apply) How often does pump run?
Where does pump discharge to outside? a Front a Back
a Winter
a Side
-----.---------------.-------------.---------.---------.---------------.-----------.-------------------.-----------.---.-----.-.---
NOTES:
SUMP PUMP SYSTEM:
~ASS 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?
Where is this location?
This area will need to be fixed so the clear water discharges to the storm sewer system.
.....---- ' . ~
Inspector: /" //.A-A-t. ;/-,Jl yl ,5'1/
Resident: ~y ~-t~ "r77. / ~'1bVl---
)
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.
DYes
CJ....-N 0
Date:
Date:
!;- /- '17
(./- 91
White: Homeowner
Yellow: City
Pink: HRG