HomeMy WebLinkAboutSump Pump Inspection Program/,~; ~: ~~ C~, ~;~} ~ ~.~ ~
~~ ~F PRIp~~
~ ~ City of Prior Lake
Sump Pump and I/I Reduction
Ins~ection Form
Name: Q~'~,t~ 5 f~=,~'D,~t? 6-,C ~,~iNnt~ Date: /4-~~ --~ i
1~/~ First Inspection $1
Address~ ~p~~~ ~~~S ~~'" T'~?~rVT" C,ilE' .sf Own:~ Rent: ~
Residential ~
Prior Lake, MN 55 Phone: ~` / Non-Residential: ~ Time: a.m p.m.
Second ~
Age of Home~~"~
A. BASEMENT ~ Yes O No SUMP BASKET ~ 0 ~ 1 ~ 2 ~ 3 ~
WATER IN BA5KET ~ Yes ~ No SUMP PiTMP ~0 ~ 1 ~ 2 a 3 ~
WATER IN BASEMENT (flow over floor) Q 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 ~ Laundry tub ~ Sanitary sewer ~ Outside
at Inspection: ~ Floar drain L~ Other
Prior to Inspection:
When was system installed, or most recently modified? (Date) and why
Q Home came with system ~ Response to inspection program ~ Other
~ Water in basement ~ Previous system failed
B. ROOF LEADERS: ~ Yes~ No DISCHARGE: Q Near ~ Away
C. YARD DRAINS ~ Yes No WINDOW WELLS ~ Yes~ No
BEAVER SYSTEM I~ Yes No
D.
PROPERTIES WITH SUMP PUMPS
When does pump run? ~ Fall ~ Summer
(check all that apply) How often does pump run?
Where does pump discharge to outside? ~ Front
Q Spring ~ Winter
NOTES:
~ Back ~ Side
SUMP PUMP SYSTEM: PA5S I~ FAIL You have 30 days to bring your system into compliance with current
regulations. When you are ready for reinspection, ca[! 651/644-1469 for an appointment.
Is there another place where clear water enters the sanitary sewer system? ~ Yes ~ No
Where is this location?
This area wi~l ,.n~d to~fixed so ~e cle~x^vo~ater discharges to the storm sewer system.
Date:
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.
White: Homeowner Yellow: City Pink: HRG