HomeMy WebLinkAboutSump Pump InspectionCity of Prior Lake
Sump Pump and I/I Reduction
Insnection Form
Name: ~ ~ ~~~ . ~' .L, ~,''~..~
Da~~~^' "~J Time%" ~~~a.m.(p.m.
~~~~~ -~'~ ~.~ ~. ~a~~ r~~ First Inspection S-"'Second ~ ~~ ~
Address: /~ ~~ Own: ~---~"ent: Q Age of Home•
~ ~~'/ Residential: ~Y"'- ~
Prior ~.ake, MN 55 ~~~ Phone:r"7 ~~~ ~~ Non-Residential: ~
.
A. BASEMENT es a No _ ~/~"~ SUMP BA5KET /~ 1~ 2 a 3 d
WATER IN BASKET ~ Yes Q~o SUMP P ~0 ~ 1 ~ 2~ ~l ~3-~
WATER IN BASEMENT (flow over floor) a Yes ~CISTERN ~ Yes C 9~ Q 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 ~ Laundry tub Q Sanitary sewer..~ O Outside
at Inspection: ~ Floor drain Q Other
Prior to Inspection:
When was system installed, or most recently modified? (Date).
Q Home came with system
O Water in basement
B. ROOF LEADER3:
C. YARD DRAINS
BEAVER 5YSTEM
~ Response to inspection program ~ Other
~ Pre ' us s stem failed
and why
Y
Yes C) No DISCHARGE: C] Near fTAway
(7 Yes 17~~ ~N9-~ WINDOW WELLS t] Yes L9'"No
~ Yes LWNo
D. PROPERTIES WITH SUMP PUMPS
When does pump run? La Fall Q Summer ~,8pring ~ Winter
(check all that apply) How often does pump run?
V~here does pump discharge to outside? ~ Front ~ Ba~lc ~ Side
NOTES:
SUMP PUMP SYSTEM: [D~AS5 ~ FAIL You have 30 days to bring your system into comp[iance with current
regulations. When you are ready jor reinspection, ca11651 /644-1469 far an ap ent.
Is there another place where clear water enters the sanitary sewer system? ~ Yes L~~'''.~
Where is this location?
This area will need to ixe the clear w r~harges to the storm sewer system. _ _
Resident:
Date: ~ -~ `'~ -
Date: - Z~/-
Disclaimer: This visual inspection is done with due diligence to find obvious clear water cross-connections
and does not imply the structure meets a11 City Codes.
White: Homeowner Yellow: ' City Pink: HRG