HomeMy WebLinkAboutSump Pump Inspection~~ PRIO~
~Q~ U~ t=i
~~
~i~
y
Inspection Form
.~ -~
Name: ~/~~. ~, /1~~'~'~~ Date:, ~" ~'~% Time~~~ ~ m./p.m.
~•~
6 ~ ~ First In~sp~e ion L~''~econd O
Address: `~~~~ ~'L~~=~~n~~ ~~~ Own: L~'' Rent: Age of Home:~ ,
~y ,/ Residential: ~ ~
Prior Lake. MN 55~ /~ Phone'`~~~"~~~c~ Non-Residential: ~
A. BASEMENT es ~ No~ SiTMP BASKET ~ 1 ~ 2 ~ 3 ~
WATER IN BASKET ~ Yes o SUMP~YIQ 0~ 1 a 2~ ~
WATER IN BA5EMENT (flow over floor) U Yes o CISTERN ~ Yes o
(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 O Laundry tub ~ Sanitary sewer ,,,,,...~ Outside
at Inspection: ~ Floar drain ~ Other
Prior to Inspection:
When was system installed, or most recently modified? (Date)
Q Home came with system
a Water in basement
B. ROOF LEADERS:
C. YARD DRAINS
BEAVER SYSTEM
and why
~ Response to inspection program ~ Other
L~ Pr ious system failed
I~' Yes ~ No DISCHARGE: Q Near I~Away
~ Yes L'f D~6' WINDOW WELLS Q Yes 13"No
~
D. PROPERTIES WITH SUMP PUMPS
When does pump run? ~ Fall ~ Summer
(check all that apply) How often does pump run?
V~here does pump discharge to outside? ~ Front
NOTES:
~ Spring ~ Winter
~
~ Back ~ Side
...--~
SUMP PUMP SYSTEM: ~f'ASS ~ FAIL You have 30 days ta bring your system into comp[iance with current
regulations. When you are ready for reinspection, call 651 /644-1469 for an appointment.
Is there another place where clear water enters the sanitary sewer system? ~ Yes L~'~Qro ~
Where is this location?
This area will need to fix~ the clea~ate~s' charges to the storm sewer system.
,
Inspector: -~'U~ " Date: '`/ ' c~ `
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.
City of Prior Lake
Sump Pump and I/I Reduction
White: Homeowner Yellow: City Pink: HRG