HomeMy WebLinkAboutSump Pump Inspection,,
'~ ~~~.`
. ~~
~~r~
,~
~,e~;
Discharge Point
at Inspection:
,
Name: ~` e~ ~>r'~7 ~ l~'~ ~ f~ ~ o ~ ~ /
~
Address: .~ l 1~ ~~:, t~-,~ ~~, ~, f C l~ IU vtJ
Prior Lake, MN 55~ Phone: ~/'~17~ ~/~~
Date: ~~ /: 1% Time: / d~ d a.mJp.m.
First Inspection L~ Second ~
Own: ~Rent: ~ Age of Home: .~ ~
Residential: C3~'
Non-Residential: ~
A. BASEMENT I~Yes ~ No SUMP BASKET ~~ 1 ~ 2 D 3 ~
WATER IN BASKET O Yes ~ No SUMP PUMP ~ O 1 ~ 2 ~ 3 ~
WATER IN BASEMENT (flow over floor) 17 Yes C~-IGo CI5TERN ~ Yes I~-i"~ T
(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.)
B.
City of Prior Lake
Sump Pump and I/I Reduction
Inspection Form ,~ ,~ ~, ~ .
~ Laundry tub ~ Sanitary sewer D Outside
~ 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
a Water in basement ~ Previous system failed
ROOF LEADERS: A'Yes L7 No DI5CHARGE: ~ Near L~Away
C. YARD DRAINS ~ Yes L~''~To WINDOW WELLS ~ Yes C-1~No
BEAVER SYSTEM I~ Yes L~~o
D. PROPERTIES WITH SUMP PUMPS
When does pump run? ~ Fall ~ Summer ~ Spring ~ Winter
(check all that apply) How often does pump run?
V~here does pump discharge to outside? ~ Front ~ Back Q Side
NOTES:
SUMP PUMP SYSTEM: ASS ~ FAIL You have 30 days to bring your system into compliance with current
regulations. When you are ready for reinspection, cal[ 651/644-1469 for an appointment.
Is there another place where clear water enters the sanitary sewer system? ~ Yes ~ No
Where is this location?
This area will need to be fixed so the clear water discharges to the storm sewer system.
Inspector: ~~ .•-~z..--- Date: ~ - ~~ - ~ y
Resident: i ~~ .~ . ~,,,~ Date: ~- /~ - 9 ~
-p
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