HomeMy WebLinkAboutSump Pump InspectionCity of Prior Lake
Sump Pump and I/I Reduction
Insnection Form
~ _ /
Name: ~~'~-~'~ '~~'~ '~ Dat~''~°3 ~~ Time/~~~a.m./p.m.
~ ~ First Inspe~c 'on tDr'' Second ~ 1~
Address:~~~~ --~ ~'L'4'~~ ~~~ Own: ~'' Rent: ~ Age of Home: 7
~~ /y~~ Residential: ~
Prior Lake, MN 5~~~ Phone: Non-Residential: ~
A. ~~ BASEMENT I~es ~ No~ ~- SUMP BASKET ~ 0 d~~_~l,~ 2~ 3 ~
WATER IN BASKET 17 Yes C9'No SiTMP P Q 0 ~'"1 Q 2~ Q ~3,~
WATER IN BASEMENT (flow over floor) ~ Yes ~CISTERN ~ Yes L~~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 OL~" utside
at Inspection: O Floor drain ~ Other
Prior to Inspection:
When w system installed, or most recently modified? (Date) and why
Home came with system Q Respons to inspection program ~ Other
~ Water in basem ~'~ ~~ ~ev' s system failed
6,,.-
B. ROOF LEADER ,(,'~~j es ~ No DISCHARGE: ~ Near way
~r~ ~/
C. YARD DRAINS ~ Yes ~~~ ~''~ WINDOW WELLS L9~Yes ~ No
BEAVER SYSTEM ~ Yes C#~No
D. PROPERTIES WITH SUMP PUMPS
When does pump run? Q Fa11 ummer .~ rin ~~ inte ~
(check all that apply) How often does pump run? ~ F~~=~ ~~~ ~~~
Vt~here does pump discharge to outside? ~ Front ~ Back i e
NOTES:
SUMP PUMP SYSTEM: L~PASS ~ FAIL You have 30 days to bring your system into compliance with current
regulations. When you are ready for reinspection, ca[[ 651/644-1469 jor an appoi ent.
Is there another place where clear water enters the sanitary sewer system? ~ Yes Cf~No
Where is this location?
This area will need to be d e clear w er d~s'~harges to the storm sewer system.
Inspector: -
Resident: _ (!
Date: - Z3-
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 alt City Codes.
White: Homeowner Yellow: Gity - Pink: HRG