HomeMy WebLinkAboutSump Pump Inspection~o~ ;v~ ~
x _ ~ ~
City of ~Prior Lake
Sump Pump and I/I Reduction
Inspection Form
, 'i ~~. ~- ~~: / ~' ' ~~- ~m
Name: ~~~~~ ~C._~~~ , ~ Dat~-:-~"~=~-' ~ ~~ Time~~7~.m./p.m.
,(~ ~/ ,~/ t First In~s e~c ion I~''Second ~
Address: ~ 7~ 1~~''~~'`'~'~'~f`~ ~~l~' Own: L~'" Rent: I~. Age of Home:~~
~~y ` ~, /~ ~;/~ Residential: L'~7~~ ~
Prior Lake, MN 55 ~-- 0~' Phone: ~` ~ Non-Residential: Q
f Z„ v~~t~ rc.. /~
A. BASEMENT es ~~~~ SIJMP BASKET d 0 1 d 2 ~ 3 ~
WATER IN BASKET C9~Yes ~ No SUMP P~ 0~ 1 Q 2~ ,~O-~ ~
WATER IN BASEMENT (flow over floor) ~ Yes ~fi1o CISTERN ~ Yes 1~ 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 ~ Laundry tub ~ Sanitary sewer ~ Outside
at Inspection: ~ Floor drain ~ Other ~~
~,---
Prior to Inspection:
Whe as system installed, or most recently modi~ed? (Date) and why
Home came with system C7 Response to inspection program ~ Other
~ Water in basement a Prev' us system failed
B. ROOF LEADERS 1~", ~~' Yes ~ No DISCHARGE: a Near way
~~ ~ ~/
C. YARD DRAINS ~ Q Yes L~~ ~N WINDOW WELLS ~ Yes e'"No
BEAVER SYSTEM ~ Yes ~'No
D. PROPERTIES WITH SUMP PUMP5
When does pump run? ~ Fall ~ Summer
(check all that apply) How often does pump run?
V~here does pump discharge to outside? L~ Front
NOTES: ~
~ Spring ~ Winter
..~-
~ Back I~ Side
~-
SUMP PUMP SYSTEM: ~ASS ~ FAIL You have 30 days to bring your system into comp[iance with current
reguladons. When you are ready for reinspection, ca[l 651/644-1469 for an ap ointmera.
Is there another place where clear water enters the sanitary sewer system? ~ Yes L~No
Where is this location?
This area will need to b e e clear w e~ischarges to the storm sewer system.
Inspector: ' ;%~~`'~ `" ~--- Date: _~
Resident: ~ ,~~ ~ r~,~.,~ ~ 0 i Date: .S-
Disclaimer: This visual inspection is done with due diligence to find obvious clear water cross-connections
and does not imply the structure meets all City Codes.
White: Homeowner Yellow: City Pink: HRG