HomeMy WebLinkAboutSump Pump InspectionCity of Prior Lake
Sump Pump and I/I Reduction
Inspection Form ,~~~`~`
Namel~~/~~Q~~~~~ X', `~J~~~ Date`~..?"~~'~,~Time%7~m./p.m.
~~ U
~ ,~ ~ First In~s~P ion ~cond ~ /~'~
Address: ~4J ~~~~~~4~/(' V/~ ~~ ~~~ Own: I~ Rent: Age of Home:/v" ~
,~ ~ ~ ~,fry L! Residential: ~ ~...I
Prior Lake, MN 55 ~-~ iy~ Phone~/ /"~7~~ Non-Residential: ~
A. ~ BASEMENT ~s ~ No~ 5IJMP BASKET ~ l7 1~ 2 17 3~
WATER IN BASKET I~ Yes o SUMP~PiJ1~P~ 0~ 1 Q 2 ~~3--~a
WATER IN BASEMENT (flow over floor) ~ Yes 1~'l~o CISTERN Q Yes I~No
(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 Q 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 inspecti on program ~ Other
~ Water in basement ~ P vious system failed
ROOF LEADERS
B D ~ N
Y
. DISCHARGE
~ N ~"'A
:
. es
o :
ear wa
Y
C. YARD DRAINS ~ Yes l~
'
N9` WINDOW WELLS ~ Yes L3''1V~o
BEAVER SYSTEM ~ ~
~
Yes I~No
D. PROPERTIES WITH SUMP PUMPS
When does pump run? O Fall C7 Summer
(check all that apply) How often does pump run?
V~here does pump discharge to.outside? ~ Front
L7 Spri~ 17 Winter
~ Back ~ Side
NOTES: _
SUMP PUMP SYSTEM: ~ASS ~ FAIL You have 30 days to bring your system into compliance with current
regutations. When you are ready for reinspection, call 651 /644-1469 for an appointment.
Is there another place where clear water enters the sanitary sewer system? ~ Yes ~''No
Where is this location?
This area will need to be d so clear ~er d~iarges to the storm sewer system.
Inspector: ~
Resident: ~ , , ~
Date: ~..~~
Date: ~~
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
S