HomeMy WebLinkAboutSump Pump Inspection5~~y°~'~~
~
City of Prior Lake
Sump Pump and I/I Reduction
Insnection Form
ivame:l%~'~.~Or~i~ :~ ~-~ ~ ,~.C-_ ~
Address: ~~ 2'~ ~~' ~~~--~ -~~
Prior Lake, MN 55 J~ ~~- Phone: '"°"""""
Date~ ~-~" ~~Time/-~~~a.m./p.m.
First In,spe~~ct1'~' Q~ Second ~ ,/
Own: ~'"" Rent: Q ge of Home:~"7
Residential: ~
Non-Residential: ~
A. BASEMENT ~ Yes ~o~ 5iJMP BASKET ~ 1 ~ 2 ~ 3 ~
WATER IN BASKET ~ Yes o SUMP P ~` Q 1 ~ 3 ~
WATER IN BASEMENT (flow over floor) ~ Yes L~~~fo CISTERN es ~ No
t (If no pump, place sticker acr~oss 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 seweJ,.. ~ Outside
at Inspection: 17 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
~ Water in basement L~P vious system failed
B. ROOF LEADERS: Qi~~ ~ es D No DISCHARGE: ~ Near C] Away
~ ~~ ~ _~
C. YARD DRAIN5 ~ Ye~-e`-l ~N WINDOW WELLS ~ Yes ~IQ"o
BEAVER 5YSTEM ~ Yes f~No
D. PROPERTIES WITH SUMP PUMPS
Wfien does pump run? Q Fall ~ Summer ~ Spring ~ Winter ,
(check all that apply) How often does pump run? •'""'"
~here does pump discharge to outside? I~ Front la Back ~ Side
NOTES: - l.. ~~ ~ L ~/~" ,19 ~G~ ~ --~ L / F' T S TA Ti o ~ -•-•- - - - - ---•-•-•-
SUMP PUMP SYSTEM: ASS ~ FAIL You have 30 days to bring your system into compliaxiee with current
regulations. When you are ready for reuupection, caU 651 /644-1469 for an fntment.
Is there another ptace where clear water enters the sanitary sewer system? ~ Yes ~L~1Vo :
Where is this location?
This area will need to ` o the clear ter ~charges to the storm sewer system.
I Inspector: rw'`""`" "- '"`'' Date: .3 -..~"U Y I
Residen : ~ Date: - 3U- ~
; ~-~
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 Yeliow: City Pink: HRG