HomeMy WebLinkAboutSump Pump InspectionCity of Prior Lake
Sump Pump and I/I Reduction
Insnection Form
Name: ~~'~~~~~ °~'~-"t"~"` Dat~~~'" 9~Time~~~mJp.m.
~ ~ First In~spect~io ~cond ~ /
Address: ~~~~ ~~~~'~ ~~~J~~~ Own: l~-"TZent: ~ Age of Home:Zto
2 /!,/ Residential; ~-'''~ ~
Prior Lake, MN SS d~~ Phone'Y`~ p a~~ ~ Non-Residential: ~
A. BASEMENT ~es ~ No~ SiJMP BASKET ~!/L7 1~ 2 ~ 3 ~
WATER IN BASKET ~ Yes o SLJMP P~ ~ 0 ~ 1 O 2- a~- /3 ~
WATER IN BASEMENT (flow over floor) a Yes ~L~QO CISTERN ~ Yes ~.~'o
(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
at Inspection:
d Laundry tub ~ Sanitary sewer d Outside
~ Floor drain ~ Other
~.----
Prior to Inspection:
When was system installed, or most recently modified? (Date) and why
Q Home came with system O Response to inspection program Q Other
L7 Water in basement ~ Previous system failed
B. ROOF LEADERS: ~ Yes ~1Vo DISCHARGE: ~ Near ~ Awa
C. YARD DRAINS ~ Yes I~~'N~ WINDOW WELLS m~es ~ No
BEAVER 5YSTEM L~ Yes f~'No
D. PROPERTIES WITH SUMP PUMPS
When does pump run? O Fall Q Summer Q Spring d Winter
(check all that apply) How often does pump run? ~'"
Wrhere does pump discharge to outside? ~ Front ~ Back ~ Side
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NOTES:
/
SUMP PUMP SYSTEM: LO/PASS ~ FAIL You have 30 days to bring your system into compliance with current
regulations. When you are ready for reinspectinn, ca11651 /644-1469 for an ap ent.
Is there another place where clear water enters the sanitary sewer system? ~ Yes C~"~~
Where is this location?
This area will need to ix s the clear w r~arges to the storm sewer system.
Inspector: ~.J • ~~~``'~ '""~----~-- Date: „~ - G 3 -
Resident`~ , , ~ ~ / _ . _ Date: ~- Z3-
Disclairaer: 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