HomeMy WebLinkAboutSump Pump InspectionCity of Prior Lake
Sump Pump and I/I Reduction
Ins
, ~ /
Name: ...~ /, C"i~ G cl %4,,,~ ,(~ ,~~">~%` V
tion Form
~
~~,./ ~y l
Date:'~°~~ ' 9J Timel ~~m./p.m.
y- -"'~ ~ First Inspec ° n ~!'" Second ~
Address: ~~ ~/ `~ ~~~ ~~~ ~'~ Own: Rent: l7 Age of Home: Z3
,~/ Residential: f ~
Prior Lake, MN 55~ ~'~ Phone" 7~~' ~'~~ Non-Residential: ~
A. BASEMENT C~Yes ~ No~ / SiJMP BASKET ~' 0 1 L"~ 2~ 3 ~
WATER IN BASKET ~ Yes ~o SUMP PU~P 0 D 1 ~ 2_ ~ ~~7
WATER IN BASEMENT (flow over floor) ~ Yes ~'~1o CISTERN ~ Yes ~'1Qo
(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 sewe~"""~ l~ Outside
atInspection: Q Floor drain D Other
.~.-
Prior to Inspection:
When was system installed, or most recently modified? (Date) and why
~ Home came with system ~ Response to inspection program ~ Other
~ Water in basement ~ Previous system failed
B. ROOF LEADER : "w~'~~A L~'Yes L~ No . DISCHARGE: ~"Near O Away
P ~~ ~ ~-~~
C. YARD DRAINS ~ Yes ~~ ~N/o ~ WINDOW WELLS ~ Yes @~No
BEAVER SY5TEM ~ Yes L9''No
D. PROPERTIES WITFI 5UMP PUMPS
When does pump run? 17 Fall ~ Summer ~ Spring ~ Winter
(check all that apply) How often does pump run? ~--
V~here does pump discharge to outside? ~ Front ~ Ba 17 Side
NOTES:
/
SUMP PUMP SYSTEM: ~ PASS CJ 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 ap ent.
Is there another place where clear water enters the sanitary sewer system? O Yes L~~~No
Where is this location?
This area will need to fixe o e clear w r' arges to the storm sewer syst~m.
I Inspector;/'~ ' ~u'~` Date: 7'~~ ~ 7~ I
Resident: ,~ ~ ~ %~ ~ Date:
Disclaimer: This visual inspectio~jfis 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