HomeMy WebLinkAboutSump Pump InspectionCity of Prior Lake
Sump Pump and I/I Reduction
Ins~pection Form
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Name: ~'~~'~~, ~'~ k=.' ~~ Dat~%'"~`~"~ -1I'ime~~/~~ a.mJp.m.
//~1 Fi~st Inspe~ct' ~ L9~ Second ~
Address:~l~' ~~~ N'~~~~ ~~~'~ /°~' ~ ~wn: 19'~ Rent: ~ Age of Home:~ ~
~
~ ~~y ~~ Residential: ~~
Prior Lake, MN 55 ~~ Phon : Non-Residential: ~
A. BASEMENT ~s ~ No~ SUMP BASKET ~1 ~ 2 O 3 O
WATER IN BASKET ~ Yes o SUMP~~P~'~~ 0 Q 1 O 2 d~
WATER IN BASEMENT (flow over floor) I~ Yes o CISTERN O Yes QI~~~do
(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 t'a Sanitary sewer ~ Outside
at Inspection: ~ Floor drain ~1 Other ~
„----.
Prior to Inspection:
When was system installed, or most re~ently modified? (Date)
and why
Q Home came with system 17 Response to inspection program ~ Other
O Water in basement Q Pr~e ious system failed
B. ROOF LEADERS: 1~~'~YYes ~ No DISCHARGE: Q Near,A''~wa
~~ ~/~ _ /~
C. YARD DRAINS Q Yes L~~'~'"~ WINDOW VV~LLS t~'Pes ~ No
BEAVER 5YSTEM ~ Yes B' No
D.
PROPERTIES WITH 5UMP PUMPS
When does pump run? Q Fall L~ Summer
(check all that apply) How often does pump run?
V~here does pump discharge to ou~side? ~ Front
C] Spring„_,_,, a Winter
~ Back ~ Side
NOTES:
SUMP PUMP SYSTEM: ~''PASS ~ FAIL You have 30 days to br~ng your system into compliance with current
regulations. When you are ready for reinspection, cal[ 651/644-1469 for an appoi nt.
Is there another place where clear water enters the sanitary sewer system? ~,Yes o
Where is this locatio
This area will need }~e ed so the eay~vater discharges to the storm sewer system.
Inspector: /u~`~"" ~----- Date: .G ~~ ~ ':
Resident: v ,~v i } Date: -.~~~.~
Disclaimer: ThY's visual inspection is done with due diligence to find obvious clear water cross-connections
and does not imnlv the structure meets all Citv Codes.
White: Homeowner Yellow: City Pink: HRG