HomeMy WebLinkAboutSump Pump Inspectionc~'~u ~ ~ c'~~~ ~ ~
~
City of Prior Lake ~
Sump Pump and I/I Reduction
Insnection Form
Name:~~ ~!~lYr1 Y-~ a~~ Date: /~~~//-~ 5 Time•.~/~a.m.~m
First ns ection~ Second ~
Address: ~~ ~~ ~i ~ /-~ `~~ ~ ~y-*-~ ~j~ ~ Own:~ ent: ~ Age of Home:~
/~%
Residential:
Prior Lake, MN 55 Phone: 0 Non-Residential: ~
A. BA5EMENT ~ Yes No ~/~~ ~SiJMP BASKET Q 0~ 1 a 2 ~ 3 ~
WATER IN BASKET ~es ~No SUMP PUMP ~ 0 1 Q ~ 3 ~
~
WATER IN BASEMENT (flow over floor) ~ Yes ~No CISTERN ~ Yes No
(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 O Laundry tub ~ Sanitary sewer Outside
at Inspection: ~ Floor drain ~ Other
Prior to Inspection: /
When was system installed, or most recently modified? (Date) &~ nd why
C} Home came with system Q Response to inspection program ~ Other
~ Water in basement ~ Previous system failed
B. ROOF LEADERS: Yes ~ No DISCHARGE: O Near ~Away
~
C. YARD DRAINS 17 Yes No WINDOW WELLS ~Yes
BEAVER SYSTEM d Yes No ~
D.
NOTES:
PROPERTIES WITH SUMP PUMPS
When does pump run? ~ Fall ~ Summer `6~ Spring O Winter
(check all that apply) How often d s p p run? ,~~ ~_~-~--~
Where does pump discharge to outside? Front ~ Back L~ 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?
Where is this location?
This area ' n to ~xed so the clear yvate~ discharges to the storm sewer system.
Inspector: ~ .___ Date: /"(~ l(-~`~_
Resident:,,(< <~~.a,. c~,,.- ~ ~,,...------- Date: ~~ ~\\ •-~~
Disclaimer: This visual inspection is done with due diligence to find obvious clear water cross-connections
and does not imply the structure meets all City Codes.
Q Yes 1@ No
White: Homeowner Yellow: City Pink: HRG