HomeMy WebLinkAboutSump Pump Inspection
City of Prior Lake
Sump Pump and III Reduction
Inspection Form
Name:!::/,'/) i '" tI \ W,'! I,',:, W\
. I .
Date: j--: /. 9 9 Time:/.?/S-a.m./p.m.
Address:Jf;,dJ.2..~ 1AI~*~. ~E
Prior Lake, MN 55]' 7.). Phone: '-IY7-)1o]
First Inspection ~ Second 0
Own: 13" Rent: 0 Age of Home: 2 /
Residential: g.----
Non-Residential: 0
A.
l -V--"" /...
BASEMENT l3'1'es 0 No
WATER IN BASKET OYes ~
WATER IN BASEMENT (flow over floor)
SUMPBASKET 0 0 ~ 0 2 0 3 0
SUMP PUMP i?"O 0 1 0 2 0 3 0
o Y es ~o CISTERN 0 Yes I:J.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
o Home came with system
o Water in basement
o Response to inspection program 0 Other
o Previous system failed
o Yes ~ DISCHARGE: 0 Near 0 Away
o Yes l3'1'fo WINDOW WELLS 0 Yes~'
o Yes l3'No
B.
C.
ROOF LEADERS:
YARD DRAINS
BEAVER SYSTEM
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:
~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 CJ-NO
Where is this location?
This area will need to be fixed so the clear water discharges to the storm sewer system.
Inspector: . ~.';;i ~(~ Date: r- - 1- Ii
Resident: ~ /A~ p.. ~ /'\ Date: -~- /- 11
/ ;- .
SUMP PUMP SYSTEM:
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