HomeMy WebLinkAboutSump Pump InspectionaF PR~o~
~ ~
o°~~ ~ ~
~9
o~
~~
City of Prior Lake
Sump Pump and I/I Reduction
Inst~ection Form
Name: ~D e / ~~ , ~,h
~~
Address: ~~~~~ ~u~^ ~ y ~G~C' l/l ~ ~
Prior Lake, MN 55 .37a Phone: ~ a-.~ ~'~ 9
Date: ~- 7 ~ ~1 Time: ~~f a.m./p.m.
First Inspection ~Second ~
Own: (~''" Rent: ~ Age of Home:~~~///
Residential: I~'" ~c~~l~
Non-Residential: Q ,~~•~~~H~`%~~/
(~.,/c. G Gp~ .• y T
A. BASEMENT E1'Y'es d No SiJMP BASKET ~~ 1 17 2~ 3 ~
WATER IN BASKET Q Yes d No SUMP PUMP ~~ 1 Q 2 ~ 3 ~
WATER IN BA5EMENT (flow over floor) ~ Yes .~1Q"o CISTERN ~ Yes ~II'
(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 ~ Outside
at Inspection: C] Floor drain ~ Other
Prior to Inspection:
When was system installed, or most recently modified? (Date)
~ Home came with system D Response to inspection program ~ Other
~ Water in basement Q Previous system failed
and why
B. ROOF LEADERS: 17 Yes C~"'No DISCHARGE: ~ Near a Away
C. YARD DRAINS ~ Yes A'No WINDOW WELLS( /l~Yes ~ No
BEAVER 5YSTEM ~ Yes t~'"~10
D. PROPERTIES WITH SUMP PUMPS
When does pump run? ~ Fall ~ Summer O Spring ~ Winter
(check all that apply) How often does pump run?
V~here does pump discharge to outside? ~ Front ~ Back O Side
NOTES:
5UMP PUMP SYSTEM: P~ YASS Q FAIL You have 30 days to bring your system into compfiance with current
regutations. When you are ready for reinspection, call 651 /644-1469 for an appointment.
Is there another place where clear water enters the sanitary sewer system? ~ Yes C~1' No
Where is this location?
This area will need to be fixed so the clear water discharges to the storm sewer system.
Inspector: Date: 7 7- I~
Resident: c. Date: '~ - 7- 9~f
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