HomeMy WebLinkAboutSump Pump Inspection,~~`~'~ ~~"~'= ; Q
?.5~~7 ..3 ~~~X7~~~ ~-~/2-53 ~,¢A~,vw o 0 0 .-
City of Prior Lake
~/~cA~vT~Bu~2~vT
Sump Pump and I/I Reduction
Inst~ection Form
oo,~
~ _,,. ~,~/
Name: o~s~~' ~'" `I A.E' Da ~
r ~'~-~ °~' y./ Tim~~~~a.m./p.m.
, ~,Q First In~sp~ec ' ~ ~cond ~ /
Address'~v,~v1~J ~'~~~~1~~l~ ~/~ ~~ Own: L~'" Rent: Age of Home: lpd
,/ ~y Residential: ~ ~
Prior Lake, MN 5~ ~~~ Phone:'ijlY~ /,9~~ Non-Residential: ~
A. BASEMENT ~ Yes ~ f SiTMP BASKET LT 0~! 1~ 2 ~ 3 ~
WATER IN BASKET 17 Yes ~'.P~ 5iJMP~I~UI~P''` ~~ ~ 1 ~ 2 ~ 3
WATER IN BASEMENT (flow over floor) L~ Yes i~o CISTERN ~ Yes
(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 L"a Laundry tub ~ Sanitary sewer ~ Outside
at Inspection: O Floor drain ~ 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 syste ailed
B. ROOF LEADERS: ~] Yes o DISCHARGE: ~ Near a Away
~ '
C. YARD DRAINS ~ Yes
~ WINDOW WELLS ~ Yes ~~
No
BEAVER SYSTEM ~ Yes I~NO
D. PROPERTIES WITH SUMP PUMPS
When does pump run? C] Fall ~ Summer ~ Spring ~ Winter
(check all that apply) How often does pump run? ~---`-
V~here does pump discharge to outside? ~ Front O Back ~ Side
NOTES: -•-- ~L A B p-~•- -~Aa E-•-•-----•-•-•---------------•---•-•-•-•-----•-------•-•-•---•-•-----•-•-•-•-
SUMP PUMP SYSTEM: ~PASS d FAIL You have 30 days to bring your system into compliance with cu nt
regulations. 4Vhen you are ready for reinspection, ca[1651 /644-1469 for an intment.
Is there another place where clear water enters the sanitary sewer system? ^ Yes o
Where is this location?
This area will need to~e f~so the c~ ~ discharges to the storm sewer system.
Inspector;
Resident:
Date: ,,.~ -.G3 -
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