HomeMy WebLinkAboutSump Pump Inspection
A.
City of Prior Lake
Sump Pump and III Reduction
CCU~/I.Jh~,J Inspection Form
Name:t<Ja.E.L..G Ai.c~. ~ ~r-I Dare::<: -/3- <):1 Time/3Q:J...mJp.m
y (j 20 / / j . / rJv/' First Ins~n ~Ond 0
Address:/~ 70 UU/O),GNU "/ ~. Own: Q'" Rent:j)--- Age ofHome:/8~ 5
--- Residential: ~ ) ~
Prior Lake, MN 553'7~ Phone~S/~.5 Non-Residential: 0
/' -
BASEMENT ~ ~ SUMP~ASKE 0 () ~ 0 3 0
WATER IN BASKET crYe~- 0 No SUMP P ~;; i 0; 0 3 .
WATER IN BASEMENT (flow over floor) 0 Yes 0 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
B.
C.
Prior to Inspection:
When ~ystem installed, or most recently modified? (Date)
~me came with system 0 Response to inspection program 0 Other
o Water in basement 0 Pr~s system failed .
ROOF LEADERS: ~s 0 N:/ DISCHARGE: 0 Near ~
YARD DRAINS 0 Yes ~y WINDOW WELLS ~ 0 No
BEAVER SYSTEM 0 Yes ~o
----
and why
~
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 Spring
-----
o Winter
o Back
o Side
-----.-.-.---.-.-.-------.-.-----.-.-----------.---.-------.-----.---.-----------.---------------------------------------.---------
NOTES:
/"
SUMP PUMP SYSTEM: ~S 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 an ~ent.
Is there another place where clear water enters the sanitary sewer system? 0 Y es ~
Where is this location? ...., .
This area will need to be ~d ~ clear w~r ~arges to the storm sewer system.
Inspector: ~ .---</9~!' i(J/ ./J' c,o.-. ...(_- __ Date: -t:. - 13- 77
Resident: _ /117 /" Date: Z _ I .? - ~ ~
. ~v , ~
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