HomeMy WebLinkAboutSump Pump InspectionCity of Prior Lake
Sump Pump and I/I Reduction
Insnection Form
Name: ~~SC~~./ ~O~t~''t//G Da~~~ ~ ` Tim~~va.m./p.m.
Q ~ ~
~,..,, 2~ ~ ~ ~ ~ ~ /~, ~ First In~spe~c ' ~~Second ~ ~
Address: /~*~ ~ Own: C~' Re`nt: ~~ Age of Home.
// ~/ ~jResidential: ~'"
Prior Lake, MN 55 ~~~ Phoney ~~' /~~ / Non-Residential: ~
,~..-v ~-v c_~ r.. .
A. BASEMENT es ~ No~ SiJMP BASKET 0~ 1~ 2 Q 3 ~
WATER IN BASKET ~ Yes o SUMP~PU~P" Q''0 ~ 1 ~ 2_~~,.~~
WATER IN BASEMENT (flow over floor) O Yes o CISTERN ~ Yes L~-1Qo
(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 O 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 D Other ~
O Water in basemen '~ revi system failed
B. ROOF LEADERS: ~~i~ es ~ No DI5CHARGE: ~ Near ay
C. YARD DRAINS C] Yes LT N WINDOW WELi.S O Yes [~1-~"0
BEAVER SYSTEM ~ Yes ~
D. PROPERTIES WITH 5UMP PUMPS
When does pump run? Q Fall ~ Summer
(check all that apply) How often does pump run?
V~here does pump discharge to outside? Q Front
NOTES:
Q Spring
~.,- ~ Winter
,
~ Back l7 Side
SUMP PUMP SYSTEM: ~ASS ~ FAIL You have 30 days to bring your system into comPliance with current
regulations. When you are ready for reinspection, cal[ 651 /644-1469 for an appoi .
Is there another place where clear water enters the sanita.ry sewer system? ~ Yes o
Where is this location?
This area will need to b e~e clear wa d~eharges to the storm sewer system.
Inspector: ~"~ ~'" Date: Z- - Z 7- l f'
Resident: , ( ,~,i~~ 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 all City Codes.
White: Homeowner Yellow: City Pink: HRG