HomeMy WebLinkAboutSump Pump Inspectionw.'S,
,~'h ~F PRIp
~ ~'~ ~ 1
~ ~ ~
City of Prior Lake
Sump Pump and I/I Reduction
Inspection Form ~o,~'~"'
' J
Name: ~~~~~n~, /~~ ~ Dat~' ~~~~ Time%~a.m./p.m.
~ First In~~s~ ion Q" Second ~
Address: ~~~~ /) ~~ ~~7~ ~~ Own: la' Rent: ~. Age of Home:~~
,/~ Residential: L9~~ ~
Prior Lyzke, MN 55 ~%~ Phone~Z'~ ~~37' Non-Residential: ~
A. BASEMENT l~'~es O No ~ SUMP BASKE ~1 C] 2~ 3
WATER IN BASKET ~ Yes o SUMP P t~ 1~ 2 ~
WATER IN BASEMENT (flow over floor) D Yes o CI5TERN ~ 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 O Laundry tub ~ Sanitary sewer /$- 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 inspection program ~ Other
Q Water in basement ~ Previ system failed
B~~ ROOF LEADERS: es ~ No DISCHARGE: O Near ~'~way
C. YARD DRAINS ~ Yes WINDOW WELL5 ~ Yes ~Z'~
BEAVER SYSTEM ~ Yes o
D. PROPERTIES WITH SUMP PUMPS
When does pump run? ta Fall ~ Summer ~ Spring ~ Winter
(check all that apply) How often does pump run?
V~here does pumg discharge to outside? I~ Front ~ Back L7 Side
NOTES:
SUMP PUMP SYSTEM: ~ASS O FAIL You have 30 days to bring your system into compliance wuh current
regulations. When you are ready for reinspection, call 651 /644-1469 for an ap ' ent.
Is there another place where clear water enters the sanitary sewer system? ~ Yes o
Where is this location?
This area w~ll need to l~e fi s~clear wa~ di~arges to the storm sewer system.
,
I Inspector. Date: ~ "'~`~_ ~ ~ I
Resident: D~..e„-~ r-~ ,~,~~i..,_ _ 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