HomeMy WebLinkAboutSump Pump InspectionCity of Prior Lake
Sump Pump and I/I Reduction
ection Form
Name: ~Ca--~'~''~~~.h~N ~ N'l~S
~~
Address: ~~~~ ,~~~~ ~~ /~j'~l ?_'S
Prior Lake. MN 55 3~~ Phone'~~` ~~' ~Z 3~
Dat~~~ ~~Time/~ ~ ~a.m./p.m
First Inspection (~Second ~
Own: ~ Rent: ~ Age of Home:
Residential: 17
Non-Residential: ~
A. BASEMENT C~'Yes~ SUMP BASKE ~ 0 ~ 1 I~'Z ~'3 ~
WATER IN BASKET es ~ No SUMP P ~ 0 ~ 1 ~~1~ O 3
WATER IN BASEMENT (flow over floor) ~ Yes o CISTERN a Yes o
(If no pump, place sticker across edge of sump cover and base~mgnt or so a,,n,.Y removal of cover will
~~S `/ ~/ D ~_
break seal. Skip to Part B of this form.)
C~57 ~'/ ,C~~
°• Discharge Point ~ Laundry tub ~ Sanitary sewer utside
at Inspection: ~ Floor drain ~ Other
Prior to Ins tion: ~~s~ g
~~ ~
n
tly modified? (Date)
~~j~ When w system installed, or r~esC re ec
'
" and why
~% ~ O
h
~ R
i
i
t
I"
~
on program
t
er
esponse to
nspect
me
e c~~
Ys
~
in basement D Previous s ste ailed
~L
Y
B. ROOF LEADER5: ~ Yes o DISCHARGE: Q Near
W
'" ~ Away
C. ELLS ~
No WINDOW
YARD DRAINS Q. Yes ~
~ Ye o
BEAVER SYSTEM ~ Yes
D. PROPERTIES WITH SUMP PUMPS
„~ When does pump run? O Fall ~ Summer ~ Sp i ~ mter
~
(check all that apply) How often does pump run? /~~` lJ ~ 1
V~here does pump discharge to outside? ~ Front O Back dl i3'i e W E
NOTES: i-
SUMP PUMP SYSTEM: Ca~P~SS O FAIL You have 30 days to bring your system into compliance with current
regulations. When you are ready for reinspectian, ca11651 /64d-1469 for an appo' t:
Is there another'place where clear water enters the sanitary sewer system? O Yes o
Where is this location?
__ .
This area will need to e ixe ~ the clear w r d'~harges to the storm sewer sysfem:
Inspector: / G`'`"`~ ' ~ Date: ,.,5 - ~ /-
Resident: ,~ n , Date: ~~
Disclaimer: This visual inspection is done with due diligence to find obvious clear water cross-connections
and does not imnlv the structure meets all Citv Codes.
White: Homeowner Yellow: City Pink: HRG