HomeMy WebLinkAboutSump Pump Inspection~~ PRIp~
.~ ~
~ U t~'1'!
~
~
f~,/
~
City of Prior Lake
Sump Pump and I/I Reduction
Inspection Form ,~~,~J
Name: ~~~~~i'~/, /~/~~i'°~i~~~/~ Date:C„~'i~~~~ Timet~~~-~'t~.m./p.m.
,~ /~~/ ~ /~~ /~ ---~''~ First In~sp~ec ' ~~-''Second ~
Address: ~' 7 J~ C~ ~'~~ ~~..~ ~V~ ~~ Own: I~ Rent: ~ ge of Home;~~ ~
~.. Residential: ~ ~
Prior L~ke, MN 55 ~.~~ Phon~~~-~~Z1 Non-Residential: ~~
A. ~BASEMENT E~"Yes ~ No~ SUMP BASKET ~~~ 1 a 2 ~ 3 ~
WATER IN BASKET ~ Yes o SiJMP ~P~ 0 O 1 ~ 2 ~
WATER IN BASEMENT (flow over floor) ~ Yes ~'iVo CISTERN ~ Yes ~
(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 O Laundry tub ~ Sanitary sewer~- Q Outside
at Inspection: ~ Floor drain d Other
Prior to Inspection: ~'
When was system installed, or most recently modified? (Date) and why
~ Home came with system Q Resp nse to inspection program ~ Other
~ Water in basement I~ Pr ious system failed
B. ROOF LEADER5: ~J Yes No DISCHARGE: ~ Near @' A w a y
P'
C. YARD DRAINS ~~~~(~~" Yes ~~ WINDOW WELLS ~ Yes o
BEAVER SYST v ~ Yes I~~''No
~~
D. PROPERTIES WITH SUMP PUMPS
When does pump run? Q Fall ~ Summer D Spri~3g- ~ 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: m/I'ASS ~ FAIL You have 30 days to bring your system into compliance with current
regu[ations. When you are ready for reinspection, ca[l 651 /644-1469 for an ointment.
Is there another place where clear water enters the sanitary sewer system? ~ Yes No
Where is this location?
This area will need to be xed~se,~e clear~'te~charges to the storm sewer system.
.
Inspector:
Resident:
Date:
Date:
- ~-
_ ,_
Disclaimer: This visu m ction is done with due diligence to find obvious clear water cross-connections
and does not imply th ructure meets all City Codes.
White: Homeowner
Yellow: City Pink:`HIrG