HomeMy WebLinkAboutSump Pump Inspection
City of Prior Lake
Sump Pump and III Reduction
Inspection Form
Name: tJ ~5t!>^,
Date:/O.../;l-7'9Time: c5Z. a.m@
Prior Lake, MN 55
Phone:
First I~ection ~
Own:.3.... Rent: 0
Residential: ~
Non-ResidentIal: 0
Second 0
Age of Home:
Address:/S'7ff3 aJ&5r.Il1/~ 5
A. BASEMENT 0 Yes ~No SUMP BASKET ~ 0 0 1 0 2 0 3 0
WAlEK IN BASKET 0 Yes 0 No SUMP PUMP ~ 0 0 1 0 2 0 3 0
WATER IN BASEMENT (flow over floor) 0 Yes ~o CISTERN 0 Yes ~NO
(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 0 Other
o Previous system failed
o Yes ~ No DISCHARGE: 0 Near 0 Away
o Yest(,No WINDOW WELLS 0 Yes 0 No
o Yes '~NO
B.
C.
ROOF LEADERS:
YARD DRAINS
BEAVER SYSTEM
D. PROPERTIES WITH SUMP PUMPS
When does pump run? 0 Fall 0 Summer 0 Spring 0 Winter
(check all that apply) How often does pump run?
-NOTES:;~~~Vi;;~;~~.~~~i.~e:LfJ-:;:O-~~'-'-';;;E;E-'-~;~~'-.-.-.-.-.-.-
"""~T - .
i!,.Q./\/ 5 L.I1...Y c- 7:::C /)/' .iJu "'T /r./ ~ //V" 14:>0,1y pR"'-~ o"..,f
SUMP PUMP SYSTEM: \t1 PASS 0 FAIL You have 30 days to bring your system into compliance with current
1'"""'-- 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 ):Y'No
Where is this location?
This area wi~ b~ed so the ~ar w~ discharges to the storm sewer system.
Inspector~(~~~'::-~ Date: /O-/d-7'~
Resident: v (/ 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