HomeMy WebLinkAboutSump Pump Inspection/ '~Ff ~~ PR.~p
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Inspection Form ,~~~ ;
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~~~C.~~ ~.~ -`~-~ Time• ~~a.mJ m.
Name: ~~~= _L.. ,~/ Date~ ~ /'Y p.
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~y~`~ `~~ ~ ~ First In~sp~ ion Second ~
Address: ,,~~~~ /~CJ,~~-~,~~ ~7" ~L~ Own: L~' Rent: Age of Home:.,~~{
, ~/ ,r~~ Residential: ~ ~J
Prior Lake, MN 55~~~ Phone: 7'~~:~c~ ~ Non-Residential: ~
A. ~ BASEMENT I~es ~ No
~~ SUMP BA5KET 1~ 2 ~ 3 ~
~
WA1'ER IN BA5KET ~ Yes ~1Vo SL1MP P 0~
~~ 1 ~ 2
~~~
WATER IN BASEMENT (flow over floor) CISTERN
~ Yes CI~ ~ Yes ~
I~IQo
(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 [7 Laundry tub ~ Sanitary sewer --"a Outside
at Inspection: Cl Floor drain ~ Other
..,---
Prior to Inspection:
When was system installed, or most recently modified? (Date)
B.
and why
C7 Home came with system ~ Response to inspection program ~ Other
C7 ,Water in basement ~ Previo s system failed
ROOF LEADERS: P~~~ ~ L 9~ Y e s Q No DISCHARGE: Q Near ~~way
~~ ~~
C. YARD DRAINS ~ Yes C~'"N~~ WINDOW WELLS ~ Yes ~
BEAVER SY5TEM L7 Yes l~~'No ~ '
D. PROPERTIES WITH SUMP PUMPS
When does pump run? ~ Fall Q Summer ~ Sprin~ ~ Winter
(check all that apply) How often does pump run?
V~here does pump discharge to outside? ~ Front Q Back ~ Side
NOTES:
SUMP PUMP SYSTEM: t17/f'ASS a FAIL You have 30 days to bring your systein into compliance with current
regutations. When you are ready for reinspection, call 651/644-1469 for an intment.
Is there another place where clear water enters the sanitary sewer system? ~ Yes ~~~o
Where is this location?
This area will need to b xed~ie clear ~ter d~harges to the storm sewer system. _
I Inspector: - ~ Date: .-G '`~' y" y
+ Resident: T~ ~~ y~%._ Date: - -' ;J
Disclainner: 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