HomeMy WebLinkAboutSump Pump InspectionCity of Prior Lake
Sump Pump and I/I Reduction
ction Form
Name: .~/~-"~ ~ ~1.,1 v~'l~ Date: ~ ~~~~ Timel~°~~m./p.m.
~ ~ ~~ ~~~ ~ ~ ~
,~` _,r, First In~~~s~pef ~' n~ Second C7
Address: /~~~ 7~ ~~~~~~ ~~~ Own: L~ Rent: Q Age of Home;~i~
'/ Residential: ~]/~ "
Prio~ Lake, MN SS~~~i Phone~~` ~~'3~~ Non-Residential: ~
~ L,,t/v..~ac,. /~•-- .~..- ,
A. ~ASEMENT es ~ No~ SiTMP BASKET /f~ 1~ 2 ~ 3 ~
ATER IN BASKET '~ Yes o SiJMP P~~ ~0 ~ 1 ~ 2~ ~~,~' ~
WATER IN BASEMENT (flow over floor) ~ Yes L~~PI'o CISTERN ~ Yes Q-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 ~ Sanitary sewe~ a Outside
at Inspection: ~ 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 ~ Previo s system failed
B. ROOF LEADERS: C9~~'Yes ~ No - DISCHARGE: ~ Near I~.~way
C. YARD DRAINS I~ Yes'"~- ~9 WINDOW WELLS ~ Yes ~- ii~o
BEAVER SYSTEM ~ Yes [~NO
D.
NOTES:
~ ~ng ~ Winter
~~ack Q Side
SUMP PUMP SYSTEM: Q' YASS ~ FAIL You have 30 days to bring your system into compliance with current
regulations. When you are ready for 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 ixe e clear w, c~fiarges to the storm sewer system.
Inspector;,~.~'~-..J '
Resident: ~
Date: .~ - 7 -
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.
PROPERTIES WITIi SUMP PUMPS
When does pump run? ~ Fall ~ Summer
(check all that apply) How often does pump run?
V~here does pump discharge to outside? L~ Front
White: Homeowner Yellow: City Pink: HRG