HomeMy WebLinkAboutSump Pump Inspection~~ P141p1P
U~ ~ City of Prior Lake
Sump Pump and I/I Reduction
Inspection Form ,.q~~'; -
Name: ~ ~../ I~.~ ~ -~ .'~-, ,,~=~ ,!~
~.~~ SG-
Address: f ~~ ~~ '~!~~~C='~2 J~%
Prior Lake, MN 55~~~ Pl~one:~` ~~Z~
Date:~ ~J~~ Time~" ~a~a.m./p.m.
First In~~~s~pe~c ' n ~''" Second ~ . ~
Own: ~Y" Rent: ~ Age of Home.Z ~
Residential: ~ ~
Non-Residential: ~
A.~ w BASEMENT ~~s ~ No~ 5I7MP BASKET ~b~,,~] 1~ 2 I~ 3 d
WATER IN BASKET ~ Yes o SUMP ~P~ L~J~ O 1 ~ 2 ~ j3 O
WATER IN BASEMENT (flow over floor) ~ Yes L~To CISTERN ~ Yes (,L7-Id"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 ~ Laundry tub ~ Sanitary sewer ~ Outside
at Inspection: ~ Floor drain ~ Other '~
Prior to Inspection: ,,,~-
When was systern installed, or most recently modified? (Date) and why
~ Home came with system
Q Water in basement
~ Response to inspection program O Other
~ Prev' us system failed
es ~ No DISCHARGE: ~ Near [IJ~'Away
a Yes ~,~~~~ WINDOW WELLS ~ Yes LzJ~o
~ Yes ~'" NO
B. ROOF LEADERS:
C. YARD DRAIN5
BEAVER SYSTEM
D.
NOTES:
SUMP PUMP SYSTEM: l~I.rP~SS I~ 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 appoi .
Is there another place where clear water enters the sanitary sewer system? ~] Yes o
Where is this location?
This area will need to be f' lhe clear wa disc~rges to the storm sewer system.
I Inspector: /~-J ' /`"` Date: L- 7_ 5'7 I
Resident:, ~2, ~ ~ Date: Z -
Disclaimer: This visual inspection is done with due diligence to find obvious clear water cross-conneetions
and does not imply the structure meets all City Codes.
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 ~ Back ~ Side
White: Homeowner Yellow: City Pink: HRG