HomeMy WebLinkAboutSump Pump InspectionCity of Prior Lake
Sump Pump and I/I Reduction
Ins~ection Form
Name: ~~v ~Ci 1
1-~ ~ ...~ t=~/z ~'
~ Date~~'`~~~~~
,~ D
~,,~ ~~~~ ~ ( ll~,,, ~ First Ins ecti n l~-''~econd ~
~P ~ Q
Address: ,~~ ~ ~~ Own: IYRent: ~. Age of Home: G
Residential: (U~''~ ~
Prior Lake, MN 55 ~~~' Phone~~ ~~~~ Non-Residential: Q
vi v - - - . v ~.---~- /
A. BASEMENT es a No~~ SUMP BASKET ~ 0 ,C~~/I ~ 2~ 3 ~
WATER IN BASKET t7 Yes ~'No SiTMP P { ~ 0 L9' 1 Q 2 ~ 3 ~
WATER IN BASEMENT (flow over floor) ~ Yes ~CISTERN d Yes ~D~a~'"---~
(If no pump, place sticker across edge of sump cover and basement floor so any removal of cover wi11
break seal. Skip to Part B of this form.)
Discharge Point a Laundry tub
at Inspection: ~ Floor drain
Prior to Inspection:
When was system installed, or most recently modified?
~ Sanitary sewer @~Qutside
~ Other
~f Q,,,~ ~fv
(Date) L/ "' ~ and why
~ Home came with system ~ Response to inspection program ther ~~"~5 7 ~~~ ~'~S~
~ Water in basement Q Previous system failed
~ ~ /''~
B. ROOF LEADERS:~AP ~~~JYes No DI5CHARGE: ~ Near ~y
~
C. YARD DRAINS ~ ~ N es I~ N/o WINDOW WELi.S Q Yes ~
BEAVER SYSTEM,~ ~L~ ~ Yes lD-fifo
6 'i
D. PROPERTIES WITH SUMP PUMPS
When does pump run? t7 Fall ~ Summer pring ~ Wint
(check all that apply) How often does ump ? 1~7E,~ ~,~Av A/ A,~
V~here does pump discharge to outside? ' ront ~ Back ~' e
NOTES:
..~-'"
SUMP PUMP SYSTEM: ~~ASS ~ FAIL You have 30 days to bring your system into compliance with current
regulaaons. When you are ready for reinspection, cal[ 651 /644-1469 for an appointment.
Is there another place where clear water enters the sanitary sewer system? ~ Yes la--~'"~~
Where is this location?
This area will need to fi s the clear er dieLiiar~es to the storm sewer svstem.
Inspector:
Date: .,3' - ~ U '
Date: 3 - U -
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.
Tim~~-~a.mJp.m.
White: Homeowner Yellow: City Pink: HRG