HomeMy WebLinkAboutSump Pump InspectionCity of Prior Lake
Sump Pump and I/I Reduction
Insnection Form
Name: / L~~~ ~ .~~~/ ~ X/~v~ Date:~ ~~ Time:~~~~m./p.m.
,t,f First Inspection ~-~'Second ~ ~
Address: ~~ `~Q ~"~~~2 ~~~ Own: t~ Rent: ~ Age of Home:~
Residential: L~""" ~
Prior Lake, MN SS~~z-- Phone~`~~'~~Z~ Non-Residential: ~
A. ~ BA5EMENT L~#'Yes ~ No~_ ~ SiTMP BASKET L~~~/6 ~ 1~ 2 O 3 ~
WATER IN BASKET ~ Yes ~o I SiJMP P~~' LT 0~ 1 O 2~ ~ ~3-~
WATER IN BASEMENT (flow over floor) ~ Yes ~L~o CISTERN O Yes ~'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 I~ Sanitary sewe~ ~ Outside
at Inspection: ~ Floor drain Q Other
Prior to Inspection:
When was system installed, or most recently modified? (Date)
~ Home came with system ~ Response to inspection program
~ Water in basement ~ Q Prev'ous system failed
~~.
~ Other
and why
B. ROOF LEADERS: ~ P~' Yes ~ No DISCHARGE: O Near O~'7Lway
~ .~,~'
C. YARD DRAINS Q Yes C~T N~o ~ WINDOW WELLS O Yes ~
BEAVER SYSTEM ~ Yes ~'No
D. PROPERTIE5 WITH SUMP PUMP5
When does pump run? ~ Fall O Summer
(check all that apply) How often does pump run?
V~here does pump discharge to outside? 17 Front
NOTES:
~ Spring C7 Winter
~"
Q Back O Side
~-
SUMP PUMP SYSTEM: ~ASS ~ FAIL You have 30 days to bring your system into compliance with current
regulations. When you are ready for reinspection, call 6511644-1469 for an appointment.
Is there another place where clear water enters the sanitary sewer system? ~ Yes LTNo
Where is this 1 cati .
This area will ~ed to e ed o the clea ate ischarges to the storm sewer system.
.,._ . . , _ _-- _
____--
Inspector• Date: ~ `
Resident: Y _~ Date: - ' J
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.
White: Homeowner Yellow: City Pink: HRG