HomeMy WebLinkAboutSump Pump Inspection
Name:rL~
City of Prior Lake
Sump Pump and III Reduction
Inspection Form
Ii 7JAN'k/J r;;;h~
Address: JS Y' 5:s t-J tIE ~ (
APE S~
Date:/O"-/;l-99 Time:tMOa.m€)
First I~spection ~ Second 0
Own: ~ Rl1n~: 0 Age of Home:
Residential: c;Y'
Non-Residential: 0
Prior Lake, MN 55
Phone:
A. BASEMENT 0 Yes .M' No SUMP BASKET ~ 0 0 1 0 2 0 3 0
WATER IN BASKET 0 Yes 0 No SUM:': rUMP g(o 0 1 0 (2 ~ 3 0
WATER IN BASEMENT (flow over floor) 0 Yes "lJ No CISTERN 0 Yes ~No
(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
0 Home came with system 0
0 Water in basement 0
B. ROOF LEADERS: 0
C. YARD DRAINS 0
BEAVER SYSTEM 0
Response to inspection program 0 Other
Previous system failed
Yes ~o DISCHARGE: 0 Near 0 Away
Yes~(No WINDOW WELLS 0 Yes 0 No
Yes)( No
D. PROPERTIES WITH SUMP PUMPS
When does pump run? 0 Fall 0 Summer 0 Spring 0 Winter
(check all that apply) How often does pump run?
-NOTES~~~~~;;~e_t~.~.~~7;;;'_._._~._B~.~k_._._._._~._S~~~_._._._._._._._._._._
f
SUMP PUMP SYSTEM: Xp 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 an appointment.
Is there another place where clear water enters the sanitary sewer system? 0 Yes XNo
Where is this location?
This area;?ne, to b~ed so the cl;ar wa(r di harges to the storm sewer system.
Inspectar. ( ~j--Ln' Date: /D -/,;J. -<77"
Resident: , . Date:
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