HomeMy WebLinkAboutSump Pump InspectionCity of Prior Lake
Sump Pump and I/I Reduction
Insnection Form
r ~y
Name: ~ C ~-~~~i~~ ~ Dat~~-~' ~.~:1 Tim~'~~-~ m./p.m.
First Inspectio /Second ~
Address:,,~~~~ ~~~'~-~7~~ ~ Own: ent: ~ e of Home:~
,,/ Residential: ~
Prior Lake, MN 55 ~~~ Phone~`~~~~~...~ Non-Residential: D
~ v wc. ~cr-
A. BASEMENT s~ No~~ SUMP BASKET ~ 1 ~ 2 ~ 3 ~
WATER IN BASKET ~ Yes o SUMP~~U1~P' 0~ 1 ~ 2~~
WATER IN BASEMENT (flow over floor) ~ Yes ~'1~1o 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.)
B.
C.
D.
NOTES:
~ Spripg„_ ~ Winter
~ Bac cl""~~ ~ Side
SUMP PUMP SYSTEM: dYirASS ^ FAIL You have 30 days to bring your system into compliance with current
regulations. When you are ready for reinspection, cal[ 651/644-1469 for an appo' .
Is there another place where clear water enters the sanitary sewer system? ~ Yes o
Where is this location~
This area will ne to e so the cle wa~ischarges to the storm sewer system,
Resident:
Date: G~ G3-~
Date: ~
Disclaimer: This visual inspection is done with due diligence to find obvious clear water cross-connections
and does not imply the structure meets all City Codes.
Discharge Point
at Inspection:
~ Laundry tub ~ Sanitary sewe~ ~ Outside
~ Floor drain ~ Other
Prior to Inspection:
When was systern installed, or most recently modified? (Date)
Q Home came with system
~ Water in basement
ROOF LEADERS:
YARD DRAINS
BEAVER SYSTEM
and why
~ Response to inspection program O Other
~ Previous system f ' d
d Yes o DISCHARGE: ~ Near Q Away
~ Yes WINDOW WELLS ~ Yes D~No
~ Yes o
PROPERTIES WITH SUMP PUMPS
When does pump run? ~ Fall L7 Summer
(check all that apply) How often does pump run?
V~here does pump discharge to outside? ~ Front
White: Homeowner Yellow:, City Pink: AItG