HomeMy WebLinkAboutSump Pump InspectionCity of Prior Lake
Sump Pump and I/I Reduction
Ins~ection Form
Name:~,~/~~~S0~t1, ~i~~' ~~
Address: ~~~~ ~AN~ ~ ~~~
Date: `C~'~ Time,f y~~.m./p.m.
._,~-~r First Inspection ~"rSecond I~ Z ~
~~~-' Own: ~Rent: ~ Age of Home.~ ~Q~
~~.~ ~/ ~ ~~~ s,. Residential: ~ ~
ior Lake, MN 55 Phone":Y Non-Residenrial: C7
.
A. BASEMENT es~ ~~ o SUMP BASKET ~ 0 ~~~ ~2~ 3 ~
WATER IN BASKET L9'Yes O No SUMP P~ ~~ 0 ~'f Q 2 ~ 3 ~
WATER IN BASEMENT (flow over floor) ~ Yes ~~NO CISTERN ~ Yes c1~o ~
(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 ~ Sanitary sewer utside
at Inspection: Q Floor drain ~ Other
Prior to In ction:
When s system installed, or most recently modified? (Date) and why
Home came with system I~ Response to inspection program ~ Other
~ Water in basement ~ Previous sys failed
B. ROOF LEADERSs ~ 1-"' ~ Yes o DISCHARGE: Q Near ~ Away
~¢ UG ~~~~~
C. YARD DRAINS ~~J Yes 17 No WINDOW WELLS ~ Yes ~No
BEAVER SYS~,~T~E1V~, , ~ ~~ ~ Yes ~,~0
L.1
D. PROPERTIES ~H SUMP PUMP5 _ ~/
When does pump run? ~ Fall L~'Summer rin ~ Winte
(check all that apply) How often does pump run? ~~ ~A~ ~~
V~here does pump discharge to outside? a Front D Back
NOTES:
,.-~ ~
SUMP PUMP SYSTEM:
~ FAII. You have 30 days to bring your system into compliance with current
regulations. When you are ready for reinspection, call 651 /644-1469 for an appointmem.
Is there another place where clear water enters the sanitary sewer system? O Yes 'tJ No
Where is this location~
This area will need ixe so the cl v~ter discharges to the storm sewer system.
~, w w _ ~ .
Resident:
Date: `-~ - ~ '
Date: ~~3'--
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