HomeMy WebLinkAboutSump Pump InspectionCity of Prior Lake
Sump Pump and I/I Reduction
Inspection Form
Name:~~% ~~.~i~.E' ~'~ ~~7C-~ •G Dat~ %`~~ "~ Time~~:1~(a~m./p.m.
First Inspect' n ~""Second ~
Address:~~~~ ~F'~~~~ ~~ Own: ~nt: ~ Age of Home: ~ ,
Residential: ~ ~
Prior Lake, MN 55 ~~~ Phone~~y7- ..3..3S~y Non-Residential: ~
,
~ v w c. c.._...
A. BASEME es ~~i~6 SUMP BASKE ~ 0 2 d 3 d
WATER IN BASKET 17Y'~es O No SUMP P ~ 0 1~ 2 ~ 3
WATER IN BASEMENT (flow over floor) ~ Yes o CISTERN ~ Yes 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: ~ Floor drain ~ Other
Prior to Inspection: n ~
When was system installed, or most recently modi~'ied? (Date) ~~` Ks~.~ and why
d~, Home came with system ~ Response to inspection program ~ Other
Q Water in basement ~ Previous syste 'led
B. ROOF LEADERS: ~ Yes o DISCHARGE: ~ Near ~ Away
C. YARD DRAINS ~ Yes 9~~~N ' WINDOW WELi.S ~ Yes ~
BEAVER SYSTEM ~ Yes ~No
D. PROPERTIES WITH SL1MP PUMP5
When does pump run? ~ Fall ~ Summer pring ~ Winter
(check all that apply) How often does pump run? ~~./C~ !~`? f L. ~~f~l ~ z/~
V~here does pump discharge to outside? ~ Front a Back ~ Side
NOTES:
SUMP PUMP SYSTEM: ~ Q FAIL 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 appoi t.
Is there another place where clear water enters the sanitary sewer system? ~ Yes o
Where is this location?
This area will need to ixe o the clear w er ' charges t.xhe storm sewer system.
Inspector: Date: Z- Z 3-
Resident: ,i' " Date: L. - Z -- '/~
Disclaimer: This visu ' pection is done with due diligence to find obvious clear water cross-connections
and does not imnlv the structure meets all Citv Codes.
White: Homeowner Yellow: City Pink: HRG