HomeMy WebLinkAboutSump Pump InspectionCity of Prior Lake
Sump Pump and I/I Reduction
~'~-'o~ , Inspection Form
~ ~
Name: ~~~~ ~'`'~ ~ Date:~~'~~ Time~ %a.m./p.m.
~ /?' ~"~irst In~s~p~e ' n L~--'Second ~
Address: ~~~~ ~'~'~~Q ~ C~ ~/~ Own: L~' Rent: ~ Age of Home: ~~
~~~ ~~ ~ Residential: L~~
Prior Lake, MN 55 ~~~ Phone: y Non-Residential: ~
A. ~~ BA5EMENT [~Yes ~ No SIJMP BASKET ~
'~b~ 1~ 2 ~ 3 ~
a_~
WATER IN BASKET ~ Yes ~o ~
SUMP P~ ~''0 Q 1 ~ 2
~~-~
WATER IN BASEMENT (flow over floor) ~ Yes L~#~fi1o CISTERN ~ Yes ~
L7~No
(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.)
Diacharge Point ~ Laundry tub ~ Sanitary sewer ~ Outside
at Inspection: ~ Floor drain ~ Other '~-
Prior to Inspection:
When was system installed, or most recently modified? (Date)
Q Home came with system
~ Water in basement
B. ROOF LEADERS:
C. YARD DRAINS
BEAVER SYSTEM
and why
I~ Response to inspection program ~ Other
Q Previo system failed
es ~ No . DISCHARGE: ~ Near ~?C"way
~ Yes I~N/O WINDOW WELLS ~~ No
~ Yes Iy~o
D. PROPERTIES WITH SUMP PUMPS
When does pump run? ~ Fall ~ Summer
(check alI that apply) How often does pump run?
CLS~ring ~ Winter
V~here does pump discharge to outside? ~ Front ~ Back Q Side
NOTES:
SUMP PUMP SYSTEM: D~PASS ~ FAIL You have 30 days to bring your system into compliance with current
regulations. When you are ready for reinspection, cal! 6511644-1469 for an appointment.
Is there another place where clear water enters the sanitary sewer system? ~ Yes C~,,AFo'~
Where is this location?
This area will need to be ed ~e-ti~ clear w r~harges to the storm sewer system.
Inspector:
Resident:
Date: `!/ ' ~ -
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