HomeMy WebLinkAboutSump Pump Inspection~~,,,J . .
~D City of Prior Lake
~7 Sump Pump and I/I Reduction
~
Inspection Form ~,~,~ ~ -~
Name: ol~.~i'~~iqN .-.~. ~//~ Dat~~'~ ~~ Time:~~~~a.m./p.m.
~~ ~ ~-~----
//~ ~~~,~,/~~ ~ First In~sp~e 'on Q"' Second ~
t~ ~
Address: ~~U ~~ ~ Own: f9' Rent: Age of Home:~~
~j.y ~y Residential:
Prior Lake, MN SSs~ /~ Phone~~~--~/~~ Non-Residential: ~
A. BA5EMENT @rYes ~ No~''~ 5iTMP BASKET ~ 1 ~ 2 L7 3~
WATER IN BASKET ~ Yes o SiJMP~I~[T~P'' ~ 1 ~ 2 ~ 3~0
WATER IN BASEMENT (flow over floor) ~ Yes 1~1o CISTERN ~ Yes Q~~
(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 a Laundry tub ~ Sanitary sewer Q Outside
at Inspection: ~ Floor drain ~ Other ~'°
Prior to Inspection:
When was system installed, or most recently modified? (Date)
~ Home came with system
~ Water in basement
B. ROOF LEADER5:
C. YARD DRAIN5
BEAVER SYSTEM
~ Response to inspection program
~ Previo ystem failed
es Q No DISCHARGE:
L~
Q Other
and why
~ Near 6~
~ Yes _~~ WINDOW WELLS ~Yes ~ No
~ Yes Q' No
~
D. PROPERTIES WITH 5UMP PUMPS
When does pump run? ~ Fall ~ Summer
(check all that apply) How often does pump run?
O Spring ~ Winter
.~„_'
V~here does pump discharge to outside? ~ Front ~ Back Q Side
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NOTES:
SUMP PUMP SYSTEM: ~'"~ASS O FAIL You have 30 days to bring your system into compliance with current
regulations. When you are ready for reinspection, ca[[ 657/644-1469 for an tntment.
Is there another place where clear water enters the sanitary sewer system? ~ Yes ~L~I o
Where is this location?
This area will need to be f so t ear water schprg~s to the storm sewer system.
Inspector:
Resident:
Date: /~- - ~ /-
Date: - ;
Disclaimer: This visual inspection is done with due diligence to find obvious clear water cross-connections
and does not imnlv the structure meets all City Codes.
White: Homeowner Yellow: City Pink: HRG