HomeMy WebLinkAboutSump Pump InspectionCity of Prior Lake
Sump Pump and I/I Reduction
Insnection Form
~~~ ~
Name: /"/~ %~ /~~ ~~i~ Date~` ~ ~~ Time;/.,3/~a.m./p.m.
~/~r ~~ ~ ~ ~ First In-~s~~p~e,S~" L~-'"Second ~ ~
Address: ~"7J %~ ~~Q 7~ ~ Own: E~ Ren~t: ~ Age of Home. ~
!/ Residential: ~ ~
Prior Lake, MN 55 ..~7~ Phone:'Y~~ ~~1~ Non-Residential: C)
r., v ,~ _ w „-. F-- -
A. BASEMENT es a No SiJMP BASKET ~/~ 1~ 2 ~ 3 ~
WATER IN BASKET l7 Yes o SUMP P~~ ~P ~0 ~ 1 ~ 2 ~~/~'~
WATER IN BASEMENT (flow over floor) ~ Yes t~No CISTERN Q Yes E7"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 la Sanitary sewer ~ Outside
at Inspection: ~ Floor drain ~ Other
Prior to Inspection: "'~
When was system installed, or most recently modified? (Date) and why
17 Home came with system ~ Response to inspection program ~ Other
O Water in basement ~ Prev' 's system failed
B. ROOF LEADERS: Q~No DISCHARGE: O Near ~'Away
A ~ n1.~o
C. YARD DRAINS ~~A~ ~i4 W 1 Yes ~~~~ N~/~ WINDOW WELLS Q Yes No
BEAVER SYSTEM p ~ Yes C~Na
D. PROPERTIES WITH SUMP FUMPS
When does pump run? ~ Fall ~ Summer ~ Spring ~ Winter
(check all that apply) How often does pump run? ~
VJhere does pump discharge to outside? ~ Front I~ Back ~ Side
NOTES:
~~
SUMP PUMP SYSTEM: ~,,P~SS ~ FAIL You have 30 days to bring your system into compliance with current
regulations. When you are ready,j'or reinspection, call 651/644-1469 for an appo nt.
Is there another place where clear water enters the sanitary sewer system? ~ Yes L~~'No ~
Where is this location?
This area will need to be d~e clear ~r~charges to the storm sewer system.
Inspector: ~ ~` ° Date: ~' ~" ~ 7
Resident: -.„, ~_, ~.:~ 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
Yellow: City
Pink: HRG