HomeMy WebLinkAboutSump Pump InspectionCity of Prior Lake
Sump Pump and I/I Reduction
ection Form ,~,~~~~-
Name: ~~~~u ~ `y~~~~ Date:~"~"'~/ Timey~~~.m./p.m.
~/ ~ ~/ First In~sp~ ion C9'' Second ~
Address: a~XO ~~ ~~'47~ ~' ~~~ N~ ~' Own: A' Rent: Age of Home:~
~ ,~/1/ ~y Residential: ~ ~
Prior Lake, MN 55 ~~~ Phone:7`7 ~~ ~~~ ! Non-Residential: ~
A. BASEMENT ~s Q No~ ~ SiJMP BASKET 19' 1 t7 2~ 3 Q
WATER IN BASKET ~ Yes ~Qo SiTMP ~P~ 0 Q 1 ~ 2_ Q~ ~
WATER IN BASEMENT (flow over floor) ~ Yes ~' N o CISTERN ~ Yes L 9' N o
(If no pump, place sticker across edge of sump cover and basement floor so any remaval of cover will
break seal. Skip to Part B of this form.)
Discharge Point ~ Laundry tub ~ Sanitary sewre,r Q' Outside
at Inspection: ~ Floor drain Q Other
V'
Prior to Inspection:
When was system installed, or most recently modified? (Date) and why
~ Home came with system ~ Response to inspection program Q Other
Q Water in basement ~ Pr ous system failed
B. ROOF LEADERS: Yes ~ No DISCHARGE: C7 Near ~/Aw
C. YARD DRAINS ~s No WINDOW WELLS es C~ No
BEAVER SYSTEM Yes ~ 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? ~ Front ~ Ba~k O Side
TNOTES:
SUMP PUMP SYSTEM: ~ASS ~ FAIL You have 30 days to bring your system into compliance with curr
regu[ations. When you are ready,/'or reinspection, call 651 /644-1469 for an tntment.
Is there another place where clear water enters the sanitary sewer system? Q Yes No
Where is this location?
This area will need to be e~ the clear~v aater ', harges to the storm sewer system.
Inspector: ~ /~
Resident: v ,-, ~, r;r.~ Z--
Date: ,.~ ~ ~ "'
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