HomeMy WebLinkAboutSump Pump InspectionCity of Prior Lake
Sump Pump and I/I Reduction
Inst~ection Form
Name: ~c~ 1/1'1 C F J~, e
_~
Address: ~%' J' ~%~ ~: ~r.,~-,~ (/ ; c~ v~ ~'U /V 1!~
Prior Lake, MN 55,?7a Phone: ~~y~- ~/~'6y
Date: y-~~ " ~q Time:~a.m./p.m.
First Ins ection ~ Second Q
Own: ~ Rent: ~ Age of Home: ~~
Residential: f~
Non-Residential: L7
d wrr `. ~~ -/
A. ASEMENT C~ Yes ~ No SUMP BASKET ~ 0 L~ ~~ 2 ~ 3 ~
WATER IN BASKET L~Yes ~ No SUMP PUMP ~ 0 Q~ 1~ 2 ~ 3 ~
WATER IN BASEMENT (flow over floor) Q Yes 21~No CI5TERN 17 Yes ~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
at Inspection:
Prior to Inspection:
When was system installed, or most recently modified? (Date)_
~Home came with system ~ Response to inspection program
O Water in basement ~ Previous system failed
~ Other
and why
B. ROOF LEADERS: 13~Yes ~ No DISCHARGE: ~ Near I~''~Away
C. YARD DRAINS I~Yes ~ No WINDOW WELLS O Yes L'f'~No
BEAVER 5YSTEM I~ Yes C-~'"No
D. PROPERTIES WITH SUMP PUMPS
When does pump run? L3~Fa11 13~Summer I~Spring ~ Winter
{check all that apply) How often does pump run? cc )~~,_ t~ o n-f ; n~, . u ~/ v
Where does pump discharge to outside? ~ Front ~ Back ~ Side
NOTES: -.~~a i,~ --I ~- I e ~ cI4 vli ~,7'~ ---i vt C'7~fC'P T', --------•-•-•-------•-•---•-------•-•-•-----•-•---
SUMP PUMP SYSTEM: I~YPASS I~ FAIL You have 30 days to bring your system into compliance with current
regu[ations. 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? Q Yes L~~1Vo
Where is this location?
This area will need to be fixed so the clear water discharges to the storm sewer system.
Inspector: ,~~,~~-~'~ ~ Date: y- /S= 9 9' I
Resident: ~,~~%~ /` Date: 1- /S- 9 5'
Disclaimer: This visual inspection is done with due diligence to find obvious clear water cross-connections
and does not imulv the structure meets all City Codes.
~ ~ Laundry tub ~ Sanitary sewer ~Outside
~ Floor drain Q Other
',
White: Homeowner Yellow: City . Pink: HRG