HomeMy WebLinkAboutSump Pump Inspection
Name:
!J1,~e r5
City of Prior Lake
Sump Pump and III Reduction
Inspection FOIIII
fV1,tJ r/'t:. (Ie..
Prior Lake, MN 55372-
Phone:
Date:,2 .25~9Cf Time: 3:45 a.m./Q
First Inspection ~ Second 0
Own: ~ Rent: 0 Age of Home:20 (,11'5
Residential: ~
Non-Residential: 0
Address:
-gzzo
L/.A I c:. C I ;... 5" LJ
A. BASEMENT mes 0 No SUMP BASKET IlY6 0 1 0 2 0 3 0
WATER IN BASKET o Yes ~ SUMP PUMP ~O 1 0 2 0 3 0
WAfER IN BASEMENT (flow over floor) 0 Yes !Z;J.N() CISTERN 0 Yes ~
(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
B.
C.
ROOF LEADERS:
YARD DRAINS
BEAVER SYSTEM
ltJ-"res 0 No
o Yes ~No
o Yes ~
DISCHARGE: 0 Near e-Away
WINDOW WELLS 9""Ves 0 No
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 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 ~ppointment.
Is there another place where clear water enters the sanitary sewer system? 0 Yes a;vNo
Where is this location?
This area will need to be fix;p so ~ cle~r water discharges to the storm sewer system.
Inspector: 6--0 .~ Date: 2- 2. 5 - 9~
Resident: ./"1/1..... // /~~ I ~.../7'J 0'// /r" ~ Date: _,;:;J -.r s - 99
.. / / -
I /
I 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