HomeMy WebLinkAboutSump Pump Inspection~~ PRj~~ City of Prior Lake
~ ~
~ ~ Sump Pump and I/I Reduction
~
rNNES°`` Inspection Form
Name: ~~~r ~/ ~aS~~ ~ Date: 27 D Time: .' / am~,
~- _
Inspection: ~ First ^ Second
Address: ~-J ~~ Q(~ ~~ I r l. ~ Own ^ Rent Age of Home:
(c/ 2 `
Prior Lake, MN 55372 Phone: (op~7- 80/b 1~ Residential ~ Non-Residential
A.
B.
C.
BASEMENT ~a~r~~ O Yes ^ No SUIWIP BASKET 0 p 1 p 2 p 3 p
WATER IN BASKET ^ Yes ^ No SUMP PUMP ~0 ^ 1 p 2 p 3 ^
WATER IN BASEMENT ^ Yes ~ No CIS:TERN ^ Yes ~ No
(If no pump, place sticker across edge of sump cover and basement floaq so any remova{ of cover wiil break seal. Skip to Part B.)
Discharge Point ^ Laundry tub ^ Sanit~ry sewer ^ Outside
at Inspection: p Floor drain p Oth~r
Prior to Inspection: g
When was system installed, or most recently modified? (D~te)
^ Home came with system ^ Response to inspectiori program p Other
p Water in basement p Previous system failed
ROOF LEADERS ,~ Yes ^ No
YARD DRAINS O 1'es No
BEAVER SYSTEM ^ Yes ~Io
and why?
DISCHARGE p Near ~way
~` WINDOW WELLS O Z'es ~3(f No
D. PROPERTIES WITH SUMP PUMPS
When does pump run? O Fall ^ Summer
(check all that apply) How often does pump run?
Where does pump discharge to outside? ^ Front
p Spring O Winter
^ Back ^ Side
NOTES:
SUMP PUMP SYSTEM: ~r PASS O FAIL Yon htn~e 30 days !o Aring ynur.~ys(eiu iiNn coiupliunce wilh crerren~
~ regulaliona•. Wheii yo~i are ready for re-in.specliar, cal/952/447-9833 for m~ uppninlnienl.
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 dischazges to the storm sewer syskeFn.
~II Inspector: Date: ~~ ,K~(JC'1 7~ )
' Resident: 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.