HomeMy WebLinkAboutSump Pump Inspection
Address: 5153 J,",OPE $-r S',e
Prior Lake, MN 55 37;<; PhomtlJ./7-bJ-j9~
City of Prior Lake
Sump Pump and III Reduction
Inspection Form ,C}PpIT
Name:!-I0~}\1V/ Ck_, ~ fvl.e 5 Date:3-/~-99 Timel/3 Oa.m.lp.m.
First Inspection ~ond 0
Own: IiJ--Rent: 0 Age of Home:2/lJrs
Residential: ~
Non-Residential: 0
A.
BASEMENT ~'o No
WATER IN BASKET 0 Yes 0 No
WATER IN BASEMENT (flow over floor)
SUMP BASKET B1i-- 0 1 0 2 0 3 0
SUMPPUMP ~O 0 1 0 2 0 3 0
o Yes 0 No CISTERN 0 Yes 0 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
~~ 0 No DISCHARGE: 0 Near r:r1\way .
o Yes ~~- WINDOW WELLS 0 Yes ~
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
(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:
~ASS
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 l!t'No
Where is this location?
This area will need.. to be ~ej so th~ c~ater discharges to the storm sewer system.
Ins~ector.---4'jo.::,;;;...,.+-_ _~~~. ~ Date: ..3 - /9- 9 9
Reslden~~~1~ >/ Date: -3-/9-99
, ~~ ~ """ .
Disclaimer:c:tms'viju'al 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
-_.~,,,'''_._--