HomeMy WebLinkAboutSump Pump InspectionZSZg~o~y~
City of Prior Lake
Sump Pump and I/I Reduction
Insnection Form
Name: ~Ghl.~ 1"~ . ~~a~-'L~A S
,
Address: 5 ~C~ 3 G/~o~*rt'i~z~' ~~/~/c' ~d~
Prior Lake, MN 55 3)Z Phone: ~/yS- 0~
Date: ~"'-Zy~ _Time: l.'a' a. . p.m.
First Inspection l~ Second ~
Own: (Z~' Rent: ~ Age of Home:
Residential: L~
Non-Residential: ~
A. BASEMENT G~'Yes ~ No~~ SUMP BASKET D 0 I~ 1~ 2 ~ 3 ~
WATER IN BASKET ~ Yes L~!'No SiJMP P P ~~ ~ 1 ~ 2 C7 ~
WATER IN BASEMENT (flow over floor) ~ Yes ~ CISTERN ~ Yes I j~~ N~ 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
at Inspection:
Q Laundry tub ~ Sanitary sewer 17 Outside
~ Floor drain ~ Other
Prior to Inspection:
When was system installed, or most recently modified? (Date) and why
17 Home came with system ~ Response to inspection program ~ Other
~ Water in basement ~ Previous system failed
B. ROOF LEADERS: ~-'~es ~ No DISCHARGE: ~ Near lH'Away
C. YARD DRAINS ~ WINDOW WELLS ~
~ Yes ~ Yes [7J~Go
BEAVER SYSTEM ~
D Yes C~ No
D. PROPERTIES WITH 5UMP PUMP5
When does pump run? ~ Fall ~ Summer D Spring Q Winter
(check all that apply) How often does pump run?
Where does pump discharge to outside? ~ Front ~ Back ~ Side
NOTES:
SUMP PUMP SYSTEM: ~ASS ~ FAIL You have 30 days to bring your system into comp[iance with current
regulations. When you are ready jor reinspection, call 651 /644-1469 for an appointment.
Is there another place where clear water enters the sanitary sewer system? ~ Yes I~No
Where is this location?
This area will need to be fixe so the clear water discharges to the storm sewer system.
Inspector: Date: Z-' Z~{ - g9
Resident: Date:
Disclaimer: This visual ' pection one with due diligence to find obvious clear water cross-connections
and does not imulv the tructur ets all Citv Codes.
White: Homeowner Yellow: City Pink: HRG