HomeMy WebLinkAboutSump Pump InspectionCity of Prior Lake
Sump Pump and I/I Reduction
Insuection Form
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Name: ~~ ~~~ Date~~"-~ ~~ Timer'~~m./p.m.
~,, ~j~t,~ . _
`~~j ~y ~,~,~.~~ p~~, ~ ~ First Inspec on ~ond !7
Address: / K~ l Own: ~ent: ~ Age of Home: ~
~ ~.~ ,~ /, /?,..~,~~~Residential: ~-^''~
Prior I,ake, MN 53~- Phone:7 ~~` Non-Residential: ~
A. BASEMENT ~es ~~Ft~ SiJMP BASKET ~ 0 ~'f~,-~7 2~ 3 ~
WATER IN BASKET lD~~es ~ No SUMP~~ ~ 0 A'~1 ~ 2 ~ 3~
WATER IN BA5EMENT (flow over floor) ~ Yes o CISTERN ~ Yes ~-Id'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 ~ Sanitary sewer utside
at Inspection: ~ Floor drain ~ Other
Prior to Ins ction:
When w system installed, or most recently modified? (Date) and why
Home came with system O Response to inspection program ~ Other
Q Water in basement Q Previ system failed _
l,i'°
B. ROOF LEADER5: ~,~~ A es O No DISCHARGE: O Near ~way
~
C. YARD DRAINS ~ Yes WINDOW WELi.S ~ Yes Q,.Pit~~
BEAVER 5YSTEM O Yes No
D. PROPERTIES WITH SUMP PUMP5 ~ ~
When does um run? ~ Fall IzYSummer I~~ ~ Wint
P P ~ /~' ~,~ G-~ V
(check all that apply) How often does pump run. G ~ A y A ~~
V~here does pump discharge to outside? ~ Front ~ Back e
NOTES:
!.~''.-~
SUMP PUMP SYSTEM: LY7/~ASS ~ FAIL You have 30 days to bring your system into compliance with current
regu[ations. When you are ready jor reinspection, cal[ 6511644-1469 for mt ap ' nt.
Is there another place where clear water enters the sanitary sewer system? ~ Yes o
Where is this location?
This area will need to o the cle~ater discharges to the storm sewer system.
_ _ e
Inspector:
Resident:
Date:
~ Date:
Disclaimer: This visual inspection is done with due diligence to find obvious clear water cross-connections
and does not implv the structure meets all City Codes.
White: Homeowner Yellow: City Pink: HRG