HomeMy WebLinkAboutSump Pump Inspection
City of Prior Lake
Sump Pump and III Reduction
Inspection Form
Name: C.C; ope'" I S' r ~ 11 J') ":5
i
Date: '2- z 5-Q'1 Time: 1:<15 a.nt1P.m.)
First Ins~tion ~Second 0 ?
Own: r&;r" Rent:~ Age of Home:
Residential: g/ ..
Non-Residential: 0
Address: 3Z35 VA Ie C,'r- 5 tJ
Prior Lake, MN 55 "572- Phone:
A.
BASEMENT ~s LJ j'jo SUMP BASKET LJ 0 ItY1 LJ 2 LJ 3 LJ
WATER IN BASKET ~s 0 No SUMP PUMP 0 0 8"'1 0 2 0 3 0
WATER IN BASEMENT (flow over floor) 0 Yes Q1(fo CISTERN 0 Yes [JiNo
(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
IB-15Utside
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 ~ay
B.
C.
ROOF LEADERS:
YARD DRAINS
BEAVER SYSTEM
o Yes llYNo
o Yes ~No
WINDOW WELLS 0 Yes 0 No
D.
PROPERTIES WITH SUMP PUMPS
When does pump run? 0 Fall 0 Summer
(check all that apply) How often does pump run?
Where does pump discharge to outside? 0 Front
o Sp~i.ng 0 Winter
tV/-#, ..A1A,G)/ rAIi')
iZJ-13iCk 0 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 Y es ~o
Where is this location?
This area will nee~ to be ~ej so the clea~ water discharges to the storm sewer system.
Ins~ector: , /'f~ ~ Date: /"- z5' -9 c;
ReSIdent: \yJ ~ (.I' r/;/, .J.-", /1 Date:
,/ ... / --
Disclaimer: This visual inspection is done with 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