HomeMy WebLinkAboutSump Pump Inspection~c
o~
~~~
~
~ ~
City of Prior Lake
~mp Pump and I/I Reduction
Insnection Form
Name: ~f/ ~ ~ v~ ~ ~ ~-f'~ o~ ~~ v+ i c~+
~ .
I Address: ,,,~ /S..Z ~~ -~"-~~~r~,~ ~/ ~if~
Prior Lake, MN 55_?~~ Phone: ~- ~-r' lSt~
Date: -/?- ~9 Time: 0 o a.m./p.m.
First Inspection ~Second I~
Own: ~" Rent: ~ Age of Home: Z~
Residential: ~-
Non-Residential: ~
t~./a ty~ ~ ~
A. BASEMENT f~-'i'es ~ No SiJMP BASKET O 0 L~J" 1~ 2 ~ 3 ~
WATER IN BASKET ~s ~ No SiJMP PUMP ~6~ O 1 ~ 2 ~ 3 ~
WATER IN BASEMENT (flow over floor) ~ Yes O~ CISTERN ~ Yes A"i~fo
(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 O Laundry tub ~ Sanitary sewer ~ Outside
at Inspection: a Floor drain ~ Other
Prior to Inspection:
When was system installed, or most recently modi~ed? (Date)_
and why
O Home came with system ~ Response to inspection program ~ Other
~ Water in basement ~ Previous system failed
~ ~ ~ ~/ Y . ~n,~ ~~~
B. ROOF LEADERS: ~ I~ No DISCHARGE: ~ Near L'J'~way vG~ /; f.~ ~ o~
C. YARD DRAINS ~ Yes ~io WINDOW WELLS O Yes ~Yl~o L.. a~~
BEAVER SYSTEM ~ Yes ~~o
NOTES:
P
,~ ~~ ~
w~ co1~-:
SUMP PUMP SYSTEM: ~ PASS ~ FAIL You have 30 days to bring your system into comp[iance with current
regulations. When you are ready for reinspection, call 651 /644-1469 for an appoinrment.
Is there another place where clear water enters the sanitary sewer system? ~ Yes ~'~10
Where is this location?
This area will need to be fixed so the clear water discharges to the storm sewer system.
I Inspector: ' ~~~ Date: ~~ -/'2 ~ 1 Y I
Resident: ~,,,, Date: ~- l2 - 9 Y
Disclaimer: This visual inspection is done with due diligence to find obvious clear water cross-conneetions
nd does not imply the structure meets all City Codes.
~ Homeowner Yellow: City Pink: HRG
D. PROPERTIES WITH SUMP PUMPS
When does pump run? O Fall ~ Summer L~ Spring Q Winter
(check all that apply) How often does pump run?
V~here does pump discharge to outs~de? ~ Front CI Back O Side
-•-•-•-•-•-• :~•-~-•-•-•-•-•-•-•-•-•---------•-•-•-•-•-•-•-•-•- - -•-•-•-•-------•-•-•-•-•-•-•-------•-•-•-•-•-•---•-