HomeMy WebLinkAboutSump Pump InspectionCity of Prior Lake
Sump Pump and I/I Reduc~ion
Inspection Form
J~ ~
Name: ~~~~~~ ~~1~~ Date:~"V ~~ Time,~~~.m./p.m.
,~C .n S~ ~/
~ ~ y/ ~~~C,~ ~~~ First Inspection L~'" Second ~ ,~ /
Address: ~~ Own: I~.-~Zent: O A e of Home: 7
g
~/ Residential: L~l-""'~
Prior Lake, MN 55 ~~Z- Phone~'YO~~~~'~Non-Residential: ~
. w vv~„ ~~ 41 ~
A. BASEMENT es ~ No ./ SUMP BASKET ~ 1 ~ 2 ~ 3 ~
WATER IN BASKET ~ Yes ~l~o SUMP P ~ 1 ~ 2L ~~~ ~3
WATER IN BASEMENT (flow over floor) ~ Yes ~' 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 I~ Laundry tub ~ Sanitary sewer ~ Outside
at Inspection: Q Floar drain ~ Other ~
Prior to Inspection: ~-''""
When was system installed, or most recently modified? (Date~ and why
~ Home came with system
~ Water in basement
B. ROOF LEADERS:
C. YARD DRAINS
BEAVER SYSTEM
~ Response to inspection program ~ Other
~ Previo system failed
IS~No DISCHARGE: ~ Near L~?~way
~ Yes L~~iIV~o WINDOW WELLS ~ Yes ~~o
D Yes L~No
D. PROPERTIES WITH SUMP PUIV~S ~
When does pump run? ~ Fall Q Summer
(check all that apply) How often does pump run?
Where does pump discharge to outside? ~ Front
NOTES:
~ Spring ~ Winter
~ Back la Side
SUMP PUMP SYSTEM: ~ASS ~ FAIL You have 30 days to bring your systern into compliance wity current
regu[ations. When you are ready for reinspection, ca[l 651 /644-1469 for an appo' nt.
Is there another place where clear water enters the sanitary sewer system? ~ Yes o
Where is this location?
This area will need to b ixed e cl~r w~a~te~r ~harges to the storm sewer system.
Inspector:
Resident:-
Date: ~ ~-
Date: Z - 9 -
Disclaimer: This visual inspection is done with due diligence to find obvious clear water cross-connections
and does not implv the structure meets all City Codes.
.S
White: Homeowner Yellow: City Pink: HRG