HomeMy WebLinkAboutSump Pump Inspection
City of Prior Lake
Sump Pump and III Reduction
Inspection Form
Name: H 0, lA .., k \ r a f (l y\ r1
I
1./
Prior Lake, MN 55) 7 c1
Phone: if '( 7 -],;) '1 ()
Date: !J- -I- 79 Time: 122 Q a.m./p.m.
First Inspection ~Second 0
Own: l3" Rent: 0 Age of Home: 7
Residential: g.--
Non-Residential: 0
Address: -1i, () f'/J) 'vJ ~ ff. A J'"' S" E
A.
~'" /10...,
BASEMENT ~es 0 No
WATER IN BASKET 0 Yes ~
WATER IN BASEMENT (flow over floor)
SUMP BASKET 0 0 a"l 0 2 0 3 0
SUMP PUMP C?"o 0 1 0 2 0 3 0
o Yes l3"No CISTERN 0 Yes l5No
(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
tYYes 0 No DISCHARGE: 0 Near ~ay
o Yes ~ WINDOW WELLS 0 Yes Id-rfc)
o Yes ~o
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:
SUMP PUMP SYSTEM:
~SS
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 Yes l3"1'fo
Where is this location?
This area will need to be fixed so the clear water discharges to the storm sewer system.
- . ,
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/~ /y~ ~/4
Inspector:
Resident:
Date: S- /- '77
Date: .{'" -/- '9
I
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