HomeMy WebLinkAboutSump Pump InspectionCity of Prior Lake
Sump Pump and I/I Reduction
Insnection Form
Name:/~~~~~` ~ ~ ~~~~~~/`°~~'~ Dat~~~l~~ Time,~~~~mJp.m.
,~/.y~ ~',{;~ (~First Insp ion ~ Second ~
Address:~i,..~ ~ 1~ /""/~N ~'" ~~~ v'E Own: Rent: Age of Home:~~~
,~/ Residential: ~ `
Prior Lake, MN 55 ~~~ Phone ~~~ - 7`~~ Non-Residential: ~
A. BASEMENT C~'~Yes ~ No~_~ SiJMP BASKET 1~ 2 ~ 3 ~
WATER IN BASKET ~ Yes L4'No SL1MP P~ 0~ 1 ~ 2 ~ 3 ~
WATER IN BASEMENT (flow over floor) ~ Yes ~i~iQO CISTERN ~ Yes Q.~F6'~~
(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
at Inspection:
Prior to Inspection: ~--~'
When was system installed, or most recently modified? (Date) and why
~ Response inspection program ~ Other
I~ Prev' s system failed
Yes Q No DISCHARGE: O Near way
~.
a Yes~ ~o WINDOW WELLS es O No
QYNo
D. PROPERTIES WITH SUMP PUMPS
B. ROOF LEADERS:
C. YARD DRAINS
BEAVER SYSTEM
When does pump run? ~ Fall Q Summer
(check all that apply) How often does pump run? _
V~here does pump discharge to outside? ~ Front
NOTES:
~ Spring ~ Winter
~
Q Back ~ Side
..--
SUMP PUMP SYSTEM: ~ASS I~ FAIL You have 30 days to bring your system into comp[iance with current
regu[ations. When you are ready for reinspection, call 651 /644-1469 for an uument.
Is there another place where clear water enters the sanitary sewer system? ~ Yes ILk~To
Where is this location?
This area will need to b ed e clear w r d~rges to the storm sewer system.
Inspector:
Resident:'
Date: .~ -..~0-
Date: 4 -
Disclaimer: Z'his visual inspection is done with due diligence to find obvious clear water cross-connections
and does not imnlv the structure meets all Citv Codes.
~ Home came with system
~ Water in basement
~ Laundry tub ~ Sanitary sewer Q Outside
O Floar drain ~ Other ~
~ Yes
White: Homeowner Yellow: City Pink: HRG