HomeMy WebLinkAboutSump Pump Inspection
Name:
City of Prior Lake
Sump Pump and III Reduction
Inspection Form
:5c 4",,, Iz ) ~ hh IS Date: "5- 19. 91 Time:!' oc> a.'o/P~~
Address:
j=:fJ 7 5' Jl;qI41r;;/ /Iv
Phone: 1/'11- / 7 ~I
First Inspection ~. Second 0
Own: ~Rent: 0 Age of Home: 15 vrs
Residential: g/' I
Non-Residential: 0
Prior Lake, MN 55372-
A. BASEMENT ~s 0 No __ SUMP BASKET 0 0 ~ 0 2 0 3 0
WATER IN BASKET 0 Yes ~ SUMP PUMY rlr(). 0 1 0 2 O/.a"/O
WATER IN BASEMENT (flow over floor) 0 Yes Q-MO CISTERN 0 Yes 1!t1'l0
(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
B.
C.
ROOF LEADERS:
YARD DRAINS
BEAVER SYSTEM
o Response to inspection program 0 Other
o Previous system failed
o Yes ~ DISCHARGE: 0 Near ~way
o Yes ~No WINDOW WELLS 0 Yes ~
DYes P""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:
~PASS
o 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
Where is this location?
This area will need to be fixed so the clear water discharges to the storm sewer system.
, -
~o
Inspector: ~~~
Resident: -=:;::) lLA O>ot.. c:::::::: C"\ b...~
- - "
,
Date:
Date:
:Y" /9-9"1
,
Disclaimer: This visual inspection is d~th 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