HomeMy WebLinkAboutSump Pump InspectionCity of Prior Lake
Sump Pump and I/I Reduction
Inspection Form
~c,~~,oc ~' ~~x~,~~~,~ .,~-~-~ . ~.?~
Name: ~~~ Date. ~ Time~ a.m./p.m.
. ` p ,,~,~ ~~T, ~~-' First In~spe~ct' ~ L'9-''"Second Q Z~
Address./ ~~~ ~~- Z Own. Q'' Rent. ~ Age of Home. ~
~/ Residential: ~~ ~
Prior Lake, MN 55~ ~''~ Phone:~'"r ~'~G ~~Non-ResidentiaL• ~
~ lJ vc.vt ~Ci ~\..,
A. BASEMENT es ~ No~ SUMP BASKET ~ 1 ~ 2 ~ 3 ~ ~
WATER IN BA5KET ~ Yes o SUMP P~ 0 Q 1 ~ 2 O 3 ~
WATER IN BASEMENT (flow over floor) ~ Yes A~iQo CISTERN ~ Yes ~'~Tfo
(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 ~Q Outside
at Inspection: Q 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 I~ Previous system failed
B. ROOF LEADERS: es ~ No DISCHARGE: ~ Near ~7''~Away
C. YARD DRAINS ~ Yes I~~~N ''~ WINDOW WELi.S ~ Yes ~''"No
BEAVER SYSTEM ~ Yes C~No
b. PROPERTIES WITH 5UMP PUMPS
When does pump run? ~ Fall ~ Summer
(check all that apply) How often does pump run?
V~here does pump discharge to outside? ~ Front
NOTES:
~ Sprin~ ~ Winter
~ Back- D Side
SUMP PUMP SYSTEM: L~1'~PASS ~ FAIL You have 30 days to bring your system into compliance with current
regulations. When you are ready for reinspeaion, cal! 6511644-1469 for an appo' ent.
Is there another place where clear water enters the sanitary sewer system? ~ Yes ~~' :No
Where is this location?
This area will need to b ed e clear er,~Ischarges to the storm sewer system.
~ Inspector: • ~'`~ ~ Date: _ ~ - 7 ~' 7 7 I
Resident: , ~,,,.~„~, r~,~~ ,~ p„r~ ~ 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.
White: Homeowner Yellow: City Pink: HRG