HomeMy WebLinkAboutSump Pump InspectionCity of Prior Lake
Sump Pump and I/I Reduction
Ins~ection Form
~
Name: ~~ ~ ~ ~~~~''~'~'`~~~ Da~'~~"~~ Time~~~~.m./p.m.
/,~/ -~ ~ / °~~ First Inspec ' n Second ~
Address: ~l0 7~~/~'~/c~~ ~i9l.J/CS Own: Rent: a Age of Home ~,
ry~/ ~c,~~y Residential: Lt]''~ y
Prior Lake, MN 5~/~ Phone~"rQ' fZ/~ Non-Residential: I~
A. BASEMENT ~ Yes [~o ~ SUMP BASKET 1 t~ 2~ 3 O
WATER IN BA5KET ~ Yes l'~'Qo SiJMP ~PUM~,,~ 0~ 1 a 2J ~ ~3
WATER IN BASEMENT (flow over floor) ~ Yes l~~o CISTERN ~ 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
at Inspection: ~ Floor drain
Prior to Inspection:
When was system installed, or most recently modified? (Date)
~ Home came with system ~ Response to inspection program ~ Other
Q Water in basement ~ Previous sys failed
~~~
and why
B. ROOF LEADER5: ~ Yes No DISCHARGE: Q Near ~ Away
C. YARD DRAINS ~ Yes ~~'N/o WINDOW WELLS 17 Yes ~dtS"~
BEAVER SYSTEM ~ Yes D~No
D. PROPERTIES WITH SUMP PUMPS
When does pump run? O Fall ~ Summer ~ Spring ~ Winter
(check all that apply) How often does pump run? ~'"
V~here does pump discharge to outside? ~ Front ~ Back O Side
NOTES: ~---•-• ~iL ~~----~f -~• ~~-f~0~-- -------------•---~- --- -----•-•-•-----•-•-•-•-•-•-•-•-•-•-•-
SUMP PUMP SYSTEM: I~~ASS ~ FAIL You have 30 days to bring your system into compliance with current
regulations. When you are ready}'or reinspection, ca[l 651/644-1469 for an aPpoi ent.
Is there another place where clear water enters the sanitary sewer system? I~ Yes ~''1Qo
Where is this location?
This area will need to b f e~e clear , e~r j, discharges to the storm sewer system.
Inspector:
Date• L.3•
Date: - _3-
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.
~ Sanitary sewer ~ Outside
~ Other `
.~_
White: Homeowner Yellow: City Pink: HRG