HomeMy WebLinkAboutSump Pump InspectionCity of Prior Lake
Sump Pump and I/I Reduction
ection Form
Name: ~~~5 Q/~ `--' ~-~ ~ Date~ ~~ ~~Tim~-~~Ja.m./p.m.
~~~/ ~~~ ~,.,~~ First In~~_s_pe~c n ~cond Q
Address: ~'~ Own: L~ Rent: ~ e of Home:
Prior Lake, MN 5~/~.
/,~~-,~~~~, Residential:
Phone y Non-Residential: D
A. BASEMENT es a No__/''~ SiJMP BASKET ~ 0 ~ 2 ~ 3 ~
WA1'ER IN BASKET 17 Yes ~'No SUP~IP P ~ 1 ~ 2~ ~ /3 '~
WATER IN BASEMENT (flow over floor) Q Yes ~ISTERN ~ Yes @,~6
(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 Q Outside
at Inspection: ~ Floor drain ', ~ Other ~~'
Prior to Insp 'on:
When system installed, or most recently modifi
Home came with system ~ Response to ins~
~ Water in basement ~ Previo system
(Date)
program O Other
and why
B. ROOF LEADERS: es Q No DISCHARGE: CI Near way
C. YARD DRAINS ~ Yes ~~~//'~~ WINDOW WELLS ~ Yes C~~
BEAVER SYSTEM ~ Yes C~~o '~,
~
D. PROPERTIES WITH SUMP PUMPS I
When does pump run? Q Fall ~~ummer O Sp~ ~ Winter
(check all that apply) How often does pump run?
V~here does pump discharge to outside? 17 Front O Back ~ Side
NOTES:
SUMP PUMP SYSTEM: I~]-~A~SS ~ FAIL You have 30 days to bring your system into compliance with current
regulations. When you are ready j'or reinspection, ca[l 651 /644-1469 for an appoi .
Is there another place where clear water enters the sanitary sewer system7 ~ Yes o
Where is this location?
This area will need t d~~e clear w djsqharges to the storm sewer system.
( Inspector~ ~ f~° =--- Date: G- G-s - 77 I
Resident~ _ ,!_ _~__ A,- ~ .~'~~; ~;; Date: Z-Z3
Disclaimer: Thi:s'~is~f al 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