HomeMy WebLinkAboutSump Pump InspectionCity of Prior Lake
Sump Pump and I/I Reduction
ection Form
Name: D~, .~~~ (~(l ~' ~.C
/
Datez~~~~" ~y Time~~~~.m./p.m.
G~ /~` First Inspection ~' ~econd ~ I,,~ ~
Address: ~/ ~~ v'~~~~~ ~~ Own: ~nt: ~ Age of Home: ~J -
Prior Lake, MN 55 ~ /~
~' /7 ~,,,~0~ Residential: ~
Phone: '7 Non-Residential:l]
A. BASEMENT ~ a No ~~ SUMP BASKET ~'"'~,,,A' 1~ 2 ~ 3 Q
WATER IN BASKET ~ Yes 5iJMP~~~ ~~ 1 I~ 2~ 3
WA1'ER IN BASEMENT (flow over floor) ~ Yes o CISTERN ~ Yes
(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 ~ Outside
at Inspection: ~ Floor drain ~ Other ~
Prior to Inspection:
When was system installed, or most recently modified? (Date),
~ Home came with system ~ Response to inspection program ~ Other
d Water in basement a Pre ' us system failed
and why
B. ROOF LEADERS: es ~ No DISCHARGE: ~ Near way
~~ ~,/~
C. YARD DRAINS ~ Yes L~#'N WINDOW WELLS es ~ No
BEAVER SYSTEM ~ Yes o
D. PROPERTIES WITH SUMP PUMPS
When does pump run? 17 Fall ~ Summer ~ Sprin ~ Winter
(check all that apply) How often does pump run?
V~here does pump discharge to outside? Q Front ~ Baeic- Q 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 ap ' .
Is there another place where clear water enters the sanitary sewer system? Q Yes o
Where is this location?
This area will need to b x so e clear w r c~Charges to the storm sewer system.
_ .. . _
Inspector:
Date: ,G -~ .~
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