HomeMy WebLinkAboutSump Pump Inspection~j
~'
^{
d E>
~~
~a
City of Prior Lake
Sump Pump and I/I Reduction
Insnection Form
,;
' ~ ~'~,~ ~/i~ ~,~ .
~
Name: ~i~~~~ ~ Date: Time:/~dQa.m./p.m.
~~
-~ First In~~sp~ec,S~~ ~ cond ~
Address: ~~~~~ ~1~~A~~ ~~=r~ ~~ Own: L~Y Rent: - Age of Home: ~L
r L/ Residential: ~
Prior, Lake, MN 55 ~/~i?1 Phone: 5~ ~~~~~~ Non-Residential: Q ~
A. BASEMENT es ~ No SUMP BASKET ~ 1~ 2 O 3 I~
WATER IN BASKET ~ Yes o SUMP P 0~ 1 ~ 2~_~~~ ~
WA1'ER IN BASEMENT (flow over floor) ~ Y'es C~+ CI5TERN Ca Yes ~7'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 I~ Laundry tub ~ Sanitary sewer r- ~ Outside
at Inspection: Q Floor drain ~ Other
Prior to pection: `~
Whe as system installed, or most recently modified? (Date) and why
Home came with system ~ Response to inspection program ~ Other
~ Water in basement ~ Previous system failed
B. ROOF LEADERS: ~~ l~'I'es ~ No DISCHARGE: ~ Near C~"way
C. YARD DRAINS ~ Yes [9~'~N WINDOW WELLS ~ Yes ~.~6"~.~
BEAVER SYSTEM ~ Yes I~No
D. PROPERTIES WITH SUMP PUMPS
When does pump run? ~ Fall ~ Summer ~ Spring ~ Winter
(check all that apply) How often does pump run? ""'
V~here does pump discharge to outside? ~ Front ~ Back ~ Side
..,_
NOTES:
SUMP PUMP SYSTEM: CYPASS ~ FAIL You have 30 days to bring your system into comp[iance with current
regulations. When you are ready for reinspection, ca[l 651/644-1469 for an ent.
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~'e clear~~ater~harges to the storm sewer system.
I Inspector: , %~c `'`'~'`~ ~-~-'" Date: "~' - ~ ~ ~" 7 7' I
Resident: ~.-~-a,-, 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.
S
White: Homeowner Yellow: City Pink: HRG