HomeMy WebLinkAboutSump Pump Inspection~~~
~ ~u
~~ ~,a3
r~5
~lU
0
` 4 PRIp~A
~ ~ ~-
~ ~
City of Prior Lake
Sump Pump and I/I Reduction
Inspection Form
.~,~,~'T
~ ~g
Name: 1~/~~/i~~/~7 ~ ~' % ~0,~'0/9~ Date~ %~~`~` Tim~7~~.m./p.m.
-~ First Inspe ~° n Lz3'" Second ~
Address: /j~~~~ ~~5~ ~r ~.D ~~ Own: (~Y" Re~nt: /~ '~ ge of Home~
r~y ,~/ ~y ~ Residential: m/ ~
Prior Lake, MN 55 ~..~ /i~ Phone" :r~/ ~~r~/ Non-Residential: ~
A. BASEMENT es ~ No SiJMP BAS T~ D 2 ~ 3 ~
WATER IN BASKET ~ Yes o SiJMP P P ~ 1 ~ 2 a 3
WATER IN BASEMENT (flow over floor) ~ Yes o CISTERN d 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 ~ Outside
at Inspection: Q Floor drain ~ Other ''~
Prior to Inspection: ''~
When was system installed, or most recently modified? (Date) and why
~ Home came with system ~ Response to inspection program ~ Other
Q Water in basement ~ Previ system failed
B. ROOF LEADERS: ~No DISCHARGE: Q Near i~""Awa
Y
C. YARD DRAIN5 Q Yes @~~N~'' WINDOW WELLS ~ Yes ~~o
BEAVER SYSTEM I~ Yes l~'No
D. PROPERTIES WITH SUMP PUMPS
When does pump run? ~ Fall ~ Summer ~~ing ~ Winter
(check all that apply) How often does pump run?
Where does pump discharge to outside? a Front ~ Back O Side
NOTES: ~"7' C~ G G.= / ~~---•1~-- ..~~T~ C.L ~ --- -• ~~~,;~----~G( /~,'1 ~5----•-•---.
G~A7~2 Qu`7'S~~E cv,N~~ t.-cJ~7'
SUMP PUMP SYSTEM: ~,~5S a FAIL You have 30 days to bring your system into compliance with current
regulations. When you are ready for reinspection, ca[l 651 /644-1469 for an ntment.
Is there another place where clear water enters the sanitary sewer system? ~ Yes dL~'No
Where is this location?
This area will need to b xed he clear w er ' charges to the storm sewer system.
Inspector: • Date: "~ ~ -
Resident: ~ ~ -, ~. Date: -~~ - `,1-
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