HomeMy WebLinkAboutSump Pump Inspection
A.
City of Prior Lake
Sump Pump and III Reduction
Inspection FOill1 //jJjJ)'j'
Name: tES/Zeq,eE-<< E,e/G DatJ%-9~ TimelOO~a.m./p.m.
jr'l 7 /, / FI / (iE First InsJl.Plt1on ~ond 0 Z
Address:/OW (A/$S:/IYVO" Own: ~ Rent: g.... Age ofHome:.(O'l/t~S
~ yl) I/'I. '23. /}'Y Residential: ~ J
Prior~ke, MN 55Q7...-v Phoney'.lt/-o w / Non-Residential: 0
/vuuJdk:; j.... ~ ~ ~/ ,/
BASEMENT ~es 0 No ./ SUMP BASKET Wll j 1 0 2 0 3 0
WATER IN BASKET o Yes ~ SUMPP~ 010203.0
WATER IN BASEMENT (flow over floor) 0 Yes ~o 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 ---" Outside
o Other
B.
C.
Prior to Inspection:
When? system installed, or most recently modified? (Date)
m/lIome came with system 0 Response to inspection program 0 Other
o Water in basement 0 pre~ystem failed ~
ROOF LEADERS: ~ 0 No DISCHARGE: 0 Near ~y
YARD DRAINS 0 Yes ~ WINDOW WELLS 0 Yes ~
BEAVER SYSTEM 0 Yes l1:J...'No
,.,
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:
/
IUAAss
o F AILrou have 30 days to bring your system into compliance with curT:
regulations. When you are ready for reinspection, call 651/644-1469 for an
Is there another place where clear water enters the sanitary sewer system? 0 Yes
Where is this location?
This area will need to ~x~ the:ayapischarges to the storm sewer s~stem., _
Inspector:~' ~ /tCl.t. ~ Date: ...::5 - ";:;-.5 - 99
. I) (/. (/.--~ :2 . '7 ~ 9 Cl1
ReSIdent: ...,' -"._. )(/ /A . ~ ~ ~"'_ rr~ . .. Date: \. '7 -.-;GI...,;) - ~)
r / -- -. r--
~ '
Disclaimeh'1'his 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