HomeMy WebLinkAboutSump Pump Inspection~~ ~ a~ PRtp~~
~' U ~
~
~~-
~~
~
City of Prior Lake
Sump Pump and I/I Reduction
ection Form
Name: ~rd~~s ~ ~Gr /,~v~ e Date: -/~- q Time: l~o?U a.m./p.m.
First Inspection L~''~Second C]
Address: ~~ `~.,> f~D _S-{, _S'E Own: L~''~Rent: ~ Age of Home:~rl.
Residential: ~''~ rl~-
Prior Lake, MN 55,3 7~ Phone: ~/ ~/ 7-~`/a ~ Non-Residential: ~
v/- ra~~7-
A. BASEMENT C~es Q No~''''~ SUMP BASKET ~ 0 1~ 2 ~ 3 ~
WATER IN BASKET ~ Yes ~J No SiJMP PiJMP ~~ 1 ~ 2 d 3 ~
WATER IN BASEMENT (flow over floor) D Yes [~T"o CISTERN ~ Yes ~-P3v
(If no pump, place sticker across edge of sump cover and basement floor so any removal of cover will
~ break seal. 5kip to Part B of this form.)
Discharge Point ~I Laundry tub ~ Sanitary sewer ~ Outside
at Inspection: ~ Floor drain ~ Other
_Prior to Inspection:
When was system installed, or most recently modified? (Date) and why
~ Home came with system ~ Response to inspection program ~ Other
Q Water in basement Q Previous system failed
B. ROOF LEADERS: t~"Yes ~ No DISCHARGE: D'Near 17 Away
C. YARD DRAINS a Yes l3~To WINDOW WELLS O Yes C~'~
BEAVER SYSTEM ~ Yes ~
D. PROPERTIES WITH SUMP PUMPS
When does pump run? C7 Fall ~ 5ummer O Spring Q Winter-
` (check all that apply) How often does pump run?
V~here does putnp discharge to outside? ~ Front ~ Back 17 Side
NOTES:
SUMP PUMP SYSTEM: f3'~ASS ~ FAIL You have 30 days to bring your system into compliance with current
regulations. 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? Q Yes ~-~
Where is this location?
This area will need to be fixed so the clear water discharges to the storm sewer system.
Inspector: !'~~/ Date: ~ /~ - y y
Resident: ~ ~ ~ ~~ s ~ ; /~---, Date: ~'.~ /.~ - ~ ~
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 "' YelIn~r,±~'City " Pink: HRG