HomeMy WebLinkAboutSump Pump Inspection\
~~
,~o
o~
~
~
City of Prior Lake
Sump Pump and I/I Reduction
Insnection Form
,
Name: ~'~l ~ ~~~, ~~a~r~' ~ ~ ~r ~~ Date: ~~-1 ~ I- '"/ `i Time: /~~~ v a.m./p.m.
~ First Inspection l~ Second ~
Address: ~~~ ~~ 1'c • ~ ~~ ~~~~~ ~ C/~ N r Own: t~''~ Rent: ~ Age of Home: ~
Residential: L~'
Prior Lake, MN 55 ~'J 7~Z Phone: ~~~ 7~ f/ D.~ Non-Residential: ~
,,./~ ~ ~r a.~-~
A. BASEMENT A'Yes ~ No SIJMP BASKET ~~ 1 ~ 2 a 3 ~
WATER IN BASKET ~ Yes ~ No SUMP PUMP I~0 ~ 1 ~ 2 ~ 3 ~
WATER IN BASEMENT (flow over floor) ~ Yes la'No CI5TERN ~ Yes lc'I'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 17 Laundry tub ~ Sanitary sewer Q Outside
at Inspection: ~ 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 Q Previous system failed
B. ROOF LEADERS: ~Yes ~ No DISCHARGE: Q Near ~"'Away
C. YARD DRAINS ~ Yes ~No WINDOW WELLS C~ Yes 0''No
BEAVER SYSTEM ~ Yes L~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? O Front ~ Back ~ Side
NOTES: ~~c., ~.,..., n.~ G,~ ~t P~ c~~ ~s r ~I C -f'l, ~~ ~ r~ r U 1 .~ /~ ~C. -•---•-•-•-•-•-•-•-•--
SUMP PUMP SYSTEM: ~ASS I~ FAIL You have 30 days to bring your system into compliance with current
regulations. When you are ready for reinspection, ca11651/644-1469 for an appointment.
Is there another place wh e clear water enters the sanitary sewer system? ~ Yes ~ No
Where is this location?
This area will need to e fixed so the clear water discharges to the storm sewer system.
Inspector: ~' r/~^~- ~ Date: y- 2~/ - i~
Resident: ' Date: y- Z~ I-~ S
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