HomeMy WebLinkAboutSump Pump Inspection~ S~ e~~ Nv f=~ D~.fia I~~se
City of Prior Lake
Sump Pump and I/I Reduction
ection Form
Name: ~, l ~ ~ ~ ~~~ v ~~~ Date: ~ ~ ` Time. ~~." ~
P ~t , r, i ~ ,.~ ~- 19 ' /~ ~ a.m./p.m
First Inspection C~'~ Second ~
Address: .~'~ ~~~ 9.~ p~~, ~:; ~,: ~~ ~~~~j S~-~ Own: I~ Rent: C7 Age of Home: 1~~ ~
Residential: L~''
Prior Lake, MN 55 % 7,2 Phone: ~,? ~>G- ?~ tJ~ Non-Residential: ~
~~/kau ~
A. BASEMENT t3'Yes ~ No SUMP BASKET ~0 ~ 1 ~ 2 ~ 3 ~
WATER IN BASKET ~ Yes ~ No SUMP PUMP Q'0 ~ 1 ~ 2 ~ 3 ~
WATER IN BASEMENT (flow over floor) ~ Yes L~'~io CISTERN ~ Yes C~'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 t7 Laundry tub C] Sanitary sewer 17 Outside
at Inspection: ~ Floor drain ~ Other
Prior to Inspection:
When was system installed, or most recently modi~ed? (Date) and why
~ Home came with system ~ Response to inspection program ~ Other
Q Water in basement ~ Previous system failed
B. ROOF LEADERS: ~Yes ~ No DISCHARGE: ~ Near L3~way
C. YARD DRAINS ~es L~'~1o WINDOW WELLS ~ Yes L~No
BEAVER SYSTEM ~ Yes L~'No
D. PROPERTIES WITH SUMP PUMPS
When does pump run? ~ Fall ~ Summer ~ Spring ~ Winter
(check all that apply) How often does pump run?
V~here does pump discharge to outside? 17 Front ~ Back ~ Side
NOTES~:. ~~D 7lr7~/ -%.~ - D w Ns ~ ~~' ~/1 i P ~6r ~ ----•-~ ~ ~---tir P ~,e r ~"/ti ~'i e~ o..~ ---~-y ~ --- Z --'Vr /, /'/, •-•-
l?V 9n~~/ 7!~-~ v'~ 7/rJrnT ~t~i~ /ti~D~c7-I~+~~
SUM~ PUMP SYSTEM: ~ L'J'~PASS ~ FAIL You have 30 days to 6ring your system into compliance with current
regu[ations. When you are ready for reinspection, cal[ 651 /644-1469 for an appointment.
Is there another place where clear water enters the sanitary sewer system? ~ Yes ~No
Where is this location?
This area will need to be fixed so the clear water discharges to the storm sewer system.
Inspector: Date: ~- r.2 ~' - 5 ~
Resident: Date: ~/- 19- y9
Disclaimer: This visual ' pection is done with due diligence to find obvious clear water cross-connections
and does not implv the structure meets all City Codes.
White: Homeowner Yellow: City Pink: HRG