HomeMy WebLinkAboutSump Pump Inspection
City of Prior Lake
Sump Pump and III Reduction
Inspection Form A,p-f.
Name:_JC("'-'ll'" ],
P II', 1\ ; \) 4- r, C1 y L ~u' ~
I C
Date: /-/7-"lr Time:JIJtJ a.m./p.m.
Prior Lake, MN 55 ] 7,),
Phone: 'ILl 7 - ft if I
First Inspection ~ Second 0
Own: a----Rent: 0 Age of Home:!'?!;,.!.
Residential: g.--
Non-Residential: 0
Address: SJ 7 f j/oJJf SI. S E
I
A.
v-/"" I k <n.... 'i
BASEMENT ~es 0 No
WATER IN BASKET id"Y'es 0 No
WATER IN BASEMENT (flow over floor)
SUMP BASKET 0 0 er1 0 2 0 3 0
SUMP PUMP 0 0 13"1 0 2 0 3 0
DYes CJ.iq'0 CISTERN 0 Yes CJ1qQ
(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
~side
Prior to Inspection:
When was system installed, or most recently modified? (Date ))1",,/ '2 t , / f 11 and why
o Home came with system ~ponse to inspection program 0 Other
o Water in basement 0 Previous system failed
B. ROOF LEADERS: ~s 0 No DISCHARGE: 0 Near a-J\Way
C. YARD DRAINS 0 Yes ~ WINDOW WELLS ~ 0 No
BEAVER SYSTEM 0 Yes CJ--NO
D. PROPERTIES WITH SUMP PUMPS
When does pump run? 0 Fall CY'S"ummer l3'Spring 0 Winter
(check all that apply) How often does pump run? ;/..f-j,~ h(""./Y (,c.,,,,,,]')
Where does pump discharge to outside? 0 Front 0 Back . ~.
---------.-----------------------------------------------.-----------------------------------------.-------------------------------
NOTES:
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, caI/651/644-1469 for an;J?Pointment.
Is there another place where clear water enters the sanitary sewer system? 0 Yes ~o
Where is this location?
This area will need to be fixed so the clear water discharges to the storm sewer system.
Inspector:
Resident:
~~ /t---f ..,)I'vtP. ___
C:~tI~'~C~L ~~.,-
Date:
Date:
6-/7- 7 J
6-/9. "7P
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