HomeMy WebLinkAboutSump Pump InspectionCity of Prior Lake
Name: ~~~ ~~ ~ ~~~~~ Date~~°~~ ~„~ Time/~°~~a?m:/p.m.
~ ~,~ ~,.~~ ~~ First In~sp_e~c ' L~'"~Second ~
Address: ~~~ ~ Own: I~'" Re~nt: /~ ~ge of Home: 2~ ~
~7 ,/,/ Residential: ~'" ~
Prior Lake, MN 55 ~/~ Phone:~'~` ~~~b~ Non-Residential: ~
A. BA5EMENT s~ SUMP BASKET 0~~ 3 ~
WATER IN BASKET es ~ No 5UMP P ~ 0 1~ 2 ~ 3
VK~ATER 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 ~ La.undry tub ~ Sanitary sewer utside
at Inspection: ~ Floor drain ~ Other
Inspection Form
Prior to Inspection: A
When was systern installed, or most recently modified? (Date) ~~ ~`' n~ hy
~ Home came with system ~ Re nse to inspection program ~ Other
Q Water in basement reviou ystem failed ~
B. ROOF LEADERS: ~ es /~ No DISCHARGE: ~ Near w
~ ~ '~d ~.~/
C. YARD DRAINS ~~V ~-~ ~ Yes ~ No WINDOW WELLS es O No
EEAVER SYSTEM ~ ~7 Yes o
D. PROPERTIES WITH SUMP PUMPS
When does pump run? ~ Fall L7 Summer pring ~ Winter
(check all that apply) How often does pump run? ~~l ~~' ~] S/~1 i.~U S~
V~here does pump discharge to outside? . I~ Front ~ Ba i e
NOTES:
SUMP PUMP SY$TEM: ~PA3S ~ FAIL You have 30 days ta bring your system into compUance with current
regulations. When you are ready for reinspection, call 651 /644-1469 for an appointmera.
Is there another place where clear water enters the sanitary sewer system? ~ Yes ~'IQo
Where is this location?
This area will need to fi s the clea a isc~ges to the storm sewer system.
Inspector:
Sump Pump and I/I Reduction
Date: L- Z,~-
Date: ~
Disclaimer: This visual inspection 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