HomeMy WebLinkAboutSump Pump Inspection
o
t)rr cL\)
~ ~
\) ~
r' ~
1~
'Y
City of Prior Lake
Sump Pump and III Reduction
Inspection Form
Name: ~ r ((' ) ( }
~ vVI~ J
Date: 5-- / - 9 9' Time:!] / 0 a.m./p.m.
First Inspection ~ Second 0
Own: e-- Rent: 0 Age of Home: :J ()
Residential: ~
Non-Residential: 0
A.
BASEMENT 0 Yes 01fc;
"WATER IN BASKET 0 Yes 0 No
WATER IN BASEMENT (flow over floor)
SUMP BASKET ~ 0 1 0 2 0 3 0
SUMP PUMP cr 0 0 1 0 2 0 3 0
o Yes ~ CISTERN 0 Yes Q-N"o
Inspector: ~L-/~ ~..J{,~
Resident: h).I V, P, 1 t~!f /l.~ oiL
I
White: Homeowner
Yellow: City
Address: Lj 11)1 trJ ""'} t? VI B r ; ell' (
Prior Lake, MN 5537.2 Phone: 'iLl.) - 957 ()
(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
o Other
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
B.
ROOF LEADERS:
YARD DRAINS
BEAVER SYSTEM
l?'"'Yes 0 No
DYes erNo
DYes I3"No
DISCHARGE: 0 Near o---Away
WINDOW WELLS 0 Yes e-1'fo
o Winter
o Side
SUMP PUMP SYSTEM: ~SS 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 Y es ~
Where is this location?
This area will need to be fixed so the clear water discharges to the storm sewer system.
C.
D.
NOTES:
Date:
Date:
s- 1- 19
5-/~ 9'1
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.
Pink: HRG