HomeMy WebLinkAboutSump Pump Inspection)~
~~
City of Prior Lake
Sump Pump and I/I Reduction
Inspection Form ~,~,~~r
Name: ~~,~0 ~`r ~~C,c...C..i Date:~ ~ ~~ Tim~~~ a.m.lp.m.
~y ~ /~s~ First In.~s~ tion L9" Second ~
Address: ~~ ~/ 1".~ oS ~~7'~ (.,,, ~~i Own: PJ Rent: Age of Home:~ ~
,/~/ ~/ Residential: ~ ~
Prior Lake, MN 55 ~~~ Phone~'`" T~~~~"7 Non-Residential: ~
A. ~ BASEMENT ~Yes ~ No~ 5UMP BAS T~~ 1 ~ 2 ~ 3 ~
WATER IN BASKET L7 Yes o SUMP P P 0~ 1 ~ 2~ ~
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 ~ Laundry tub ~ Sanitary sew,ez-. ~ Outside
at Inspection: Q Floor drain ~ Other
Prior to Inspection: '/
When was system installed, or most recently modified? (Date) and why
~, O Home came with system ~ Response to inspection program ~ Other
O Water in basement ~ Previous sy ailed
B. ROOF LEADER5: ~ Yes No DISCHARGE: ~ Near ~ Away
C. YARD DRAINS ~ Yes L~9'~ WINDOW WELLS a Yes !9~'No
BEAVER 5Y5TEM ~ Yes ~' No
D. PROPERTIES WITH SUMP PUMPS
When does pump run? ~ Fall ~ Summer ~ Sprin~ ~ Winter
(check all that apply) How often does pump run?
V~here does pump discharge to outside? ~ Front Q Back -" ~ Side
NOTES:
SUMP PUMP SYSTEM: dYPASS O FAIL You have 30 days to bring your system into compliance with cur ent
regu[ations. When you are ready for reinspection, ca[1651 /644-1469 for an ointment.
Is there another place where clear water enters the sanitary sewer system? ~ Yes o
Where is this location?
This area will need to be f~ so,t~°clear wate isc~a~es to the storm sewer system.
I Inspector: , -''"''~`~ ~~--~ Date: ...~ "~ " r 7 I
, . . -
Resident: -~, '~ ~e ,.~~~ .~ ,,~, _ ,>' .-Yt_,, 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