HomeMy WebLinkAboutSump Pump InspectionCity of Prior Lake
Sump Pump and I/I Reduction
ction Form
Name : l J~~I ~~.~~- °~-, `~,-I ro1 ~`~~ ~
Dat~~-~~ ~/ Time/~1~a.mJp.m.
~~ /~~~ T,,~~ ~~ First In.spe~cti Lz3"~Second ~
Address: ~~ C~ Own: I~"Rent: ~ ge of Home:~
,~/ ResidentiaL• ~
Prior Lake, MN 55 ~~~ Phone' 7J`',~~ ~,~,,~Non-Residential: Q
A. BASEMENT ~~~ SUMP BASKET C] 0 A'~~-2 ~ 3 ~
WATER IN BASKET es ~ No SiJMP~L~ ~ 0 ~1~~~ 2 Q 3
WATER IN BASEMENT (flow over floor) O Yes o CISTERN 17 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: 17 Floor drain ~ Other
Prior to Insp 'on:
When w system installed, or most recently modified? (Date) """ and why
., Home came with system ~ Response to inspection program ~ Other
O Water in basement Q Previous syste iled
B. ROOF LEADERS:
C. YARD DRAINS ~ Yes
Q Yes o DI5CHARGE: ~
~IiN/o ~~ WINDOW WELLS Near
~ ~ Away
Yes o
BEAVER SYSTEM l7 Yes f.Uifto
D. PROPERTIES WITH 5UMP PUMPS
/''~~
When does pum run?
P
(check all that apply) ~
~ Fall I~Summe ring
How often does pum ? ~4 / ~ Winter
.~.` t~/~'~ ~•~ ~
V~here does pump discharge to outside? ront ~ Back ~ Side
NOTES:
SUMP PUMP SYSTEM: ASS ~ 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 app ' ent.
Is there another place where clear water enters the sanitary sewer system? ~ Yes o
Where is this location?
This area will need t~i~ the clear at~discharges to the storm sewer system.
Inspector: Date: ,G ~ •G :~ -
Resident: x ~-.-. f, ~ _ t Date: 3~
Disclaimer: Tbis 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