HomeMy WebLinkAboutSump Pump Inspection`~ ~m 7' ~ v~ ~.,.f~ ~~5~
City of Prior Lake
Sump Pump and I/I Reduction
Insuection Form
Name: ~-~~ i~~ E z ~: ~, ~ K
~
Address: ~9 /~ .~ '~,~5 c~ ~ ~~ ~'.~ ;P L-L'
,
Prior Lake, MN 55 ~?.2 Phone: 1/ `/ ~;rS~o
Date: 1/-r1 `~- 9y Time: /~~~/~ a.m./p.m.
First Inspection t~` Second ~ ~
Own: I~'" Rent: ~ Age of Home:~„~' ~
Residential: [3°-
Non-Residential: ~
~/~~-~ { ~, <<~ . ~~
A. BASEMENT Yes ~ No SUMP BASKET C3 0~ 1 ~ 2 ~ 3 Q
WATER IN BASKET ~ Yes a No SUMP PUMP I~0 Q 1 ~ 2 ~ 3 O
WATER IN BASEMENT (flow over floor) ~ Yes L~'No CI5TERN CI 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 ~ Laundry tub ~ Sanitary sewer ~ Outside
at Inspection: ~ Floor drain ~ Other
Prior to Inspection:
When was system installed, or most recently modified? (Date)
D Home came with system ~ Response to inspection program ~ Other
17 Water in basement d Previous system failed
and why
B. ROOF LEADERS: I~''~es a No DISCHARGE: ~ Near ~ Away
C. YARD DRAINS ~ Yes l~'~No WINDOW WELL5 ~ Yes [~No
BEAVER SYSTEM L7 Yes ~'No
D. PROPERTIES WITH SUMP PUMPS
When does pump run? ~ Fall a Summer ~ Spring ~ Winter
(check all that apply) How often does pump run?
V~here does pump discharge to outside? 17 Front O Back O Side
NOTES:
SUMP PUMP SYSTEM: ~ASS ~ FAIL You have 30 days to bring your system into compliance with current
regutations. When you are ready for reinspecrion, ca11651 /644-1469 for an appoimment.
Is there another place where clear water enters the sanitary sewer system? ~ Yes ~o
Where is this location?
This area will need to be fixed so the clear water discharges to the storm sewer system.
Inspector: ~~ -~+'~S Date: `/ - ,,2 ~ - y 9
Resident: ,~` -c., ~-* ~'~-----~ Date: ~/- J q- 9 l
~.
Disclaimer: This visual inspection is done with due diligence to find obvious clear water cross-connections
and does not iunply the structure meets all Cit_y Codes.
White: Homeowner ': Y.ellow: City Pink: HRG