HomeMy WebLinkAboutSump Pump Inspectionb~
~
~~
~~
~
`~ r-
(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.)
Name: ~t ~°~'>Ov'~ , ~-~ ~~ ~ ~f
-r~ -~
Address: } o~ v ~~~Pl~ v~~~ f 1T' ~~
Prior Lake, MN 55~ Phone: ~~ v- ~/G ~~
,
Date: .~ ~~- ~ y Time: ~fS a.m./p.m.
First Inspection ~3~Second D
Own: C~'' Rent: ~ Age of Home:~ ~7
Residential: S'"
Non-Residential: ~
~~~ ~'Y~
A. BASEMENT es ~ No SIJMP BASKET ~~ 1 ~ 2 ~ 3 O
WATER IN BASKET ~ Yes ~ No SUMP PUMP ~~ 1 ~ 2 C~ 3 Q
WATER IN BASEMENT (flow over floor) ~ Yes A~o CISTERN ~ Yes f~3d5"
~
:~.
B.
C.
D.
NOTES:
Discharge Point
at Inspection:
City of Prior Lake
Sump Pump and I/I Reduction
Insnection Form
~ Laundry tub ~ Sanitary sewer l7 Outside
a Floor drain ~ Other
Prior to Inspection:
When was system installed, or most recently modified? (Date)
~ Home came with system
O Water in basement
ROOF LEADERS:
YARD DRAINS
BEAVER SYSTEM
and why
~ Response to inspection program ~ Other
~ Previous system failed
~s ~ No DISCHARGE: Q Near C'~'Away
~ Yes 13''~To WINDOW WELi.S O Yes L~'1~o
~ Yes C~~4'o
PROPERTIES WITH SUMP PUMPS
When does pump run? I~ Fall ~ Summer ~ Spring ~ Winter
(check all that apply) How often does pump run?
V~here does pump discharge to outside? a Front O Back O Side
SUMP PUMP SYSTEM: PASS ~ 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 appointment.
Is there another place where clear water enters the sanitary sewer system? ~ Yes ~'fiTo
Where is this location?
This area wili nged to be fixed so the clear water discharges to the storm sewer system.
Inspector:` ~ ~ Date: ~ ` 1 '
Resident: ,_. G.~.~ , ,~., ,..._ Date: ~ - ~ ~
Disclaimer: This visual inspection is done with due diligence to find obvious clear water cross-connections
and does not impl_y the structure meets all City Codes.
White: Homeowner Yellow: City Pink: HRG