HomeMy WebLinkAboutSump Pump Inspection Program, ~O ~F PRIp~P
~ ~ ~
~o ~ ~
a
~~
~
City of Prior Lake
Sump Pump and I/I Reduction
Ins~ection Form
Name : ~ ~-, ~ ~ ~ ~ fP ~r .~ ~c, ~
Date: ! - 7 - ~ S
Time: /%T~ a.m./p.m.
Address: .~/~. / ~'N ~7~>• ~~ ~` ~/1I. if/w
Prior Lake, MN 55~ Phone: ~/~/U' ~S ~' y
First Inspection C~ Second ~
Own: L~'~ Rent: ~ Age of Home: J ~
Residential: ~'''
Non-Residential: ~
v~/~ ~~, o h r
A. BASEMENT C-~'Yes ~ No 5IJMP BASKET Q 0 ~ 1 ~~ 3 ~
WATER IN BASKET C~i'es ~ No SUMP PiJMP ~ 0 I~'1 O 2 ~ 3 O
WATER IN BASEMENT (flow over floor) ~ Yes ~'No CISTERN ~ Yes ~#-3~10
(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 Q Sanitary sewer L~Outside
at Inspection: ~ Floor drain ~ Other
Prior to Inspection:
When was system installed, or most recently modified? (Date) and why
C~"' Home came with system ~ Response to inspection program ~ Other
L'I Water in basement ~ Previous system failed
B. ROOF LEADER5: L"-~''rYes ~ No DISCHARGE: ~ Near C~'~way
C. YARD DRAINS ~ Yes C~' No WINDOW WELLS ~ Yes I~No
BEAVER SYSTEM I~ Yes f~-No
D. PROPERTIES WITH 5UMP PUMPS
When does pump run? ~ Fall ~ Summer ~ Spring ~ Winter
(check all that apply) How often does pump run? rG rr / Y' ?
Where does pump discharge to outside? Q Front Q Back L3--4"ide
NOTES:
Inspector: ~~ r~
` Date: J-7 ' 9' ~
Residen . .~ ~ rc~c Date: ~• ~- 9 y
SUMP PUMP SYSTEM: ~ASS 17 FAIL You have 30 days to bring your system into compliance with current
regulations. When you are ready j'or reinspection, call 651 /644-1469 for an appointment.
Is there another place where clear water enters the sanitary sewer system? ~ Yes ~o
Where is this location?
This area will need to be fixed so the clear water discharges to the storm sewer system.
Disclaimer: This visual inspection is done with due diligence to find obvious clear water cross-connections
and does not im 1 the structure meets all Cit Codes.
White: Homeowner
Yellow: City
Pink: HRG