HomeMy WebLinkAboutSump Pump Inspection~O ~F PRIp~'
~ ~ ~
\~ U t~~9
~`
~o
~
City of Prior Lake
Sump Pump and I/I Reduction
Insnection Form
Name: ~ i' ~~ h~-~ ~, ~1; ( ~~ ~ r,.~ Date: ~^- /1 - 9 y Time:~a.m./p.m.
First Inspection l3~ Second D
~Address: ~ ,~Q ~"~~ ~ ~~~h ;~~,, ~~1 ~r ~. ~ r Own: C~'" Rent: ~ Age of Home:~~
ResidentiaL• ~"
~'rior Lake, MN 55 3 7~ Phone: ~ ~ -~ ~/ Non-Residential: ~
t~l~° ~'1'"
A. BASEMENT L~'~es ~ No SUMP BASKET @~~ 17 1 L7 2 17 3~
WATER IN BASKET ~ Yes ~ No SUMP PUMP ~~ 1 L7 2 O 3 ~
WATER IN BASEMENT (flow over floor) ~ Yes I~o CISTERN ~ Yes L~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 CI Laundry tub O Sanitary sewer ~ Outside
at Inspection: C1 Floor drain ~ Other
Prior to Inspection:
When was system installed, or most recently modified? (Date) and why
O Home came with system Ca Response to inspection program ~ Other
~ Water in basement Q Previous system failed
B. ROOF LEADERS: C~es Q No DISCHARGE: ~ Near t'~' Away
C. YARD DRAINS C7 Yes L~1o WINDOW WELLS Q Yes Q'~
BEAVER SYSTEM t7 Yes l3•'1'~0
D. PROPERTIES WITH 5UMP PUMPS
When does pump run? ~ Fall ~ Summer ~ Spring 17 Winter
(check all that apply) How often does pump run?
Where does pump discharge to outside? a Front ~ Back O 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 appointmera.
Is there another place where clear water enters the sanitary sewer system? ~ Yes L~To
Where is this location?
This area will need~ be fixed so the clear water discharges to the storm sewer system.
Inspector:
Resident:
Date: _I ~ ! ~- ~ 9
Date: ~ - / ? - y~'i
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