HomeMy WebLinkAboutSump Pump Inspection~~ PR~p~
~`~ ~ City of Prior Lake
Sump Pump and I/I Reduction
Inst~ection Form
Name: ~.-/oJ~•tl ,J~~rv/ ~ Date~~..~-~,~'~Tim~~.~.m./p.m.
First I~n_~spe~cti9 n Br'" Second ~
Address: `~~~~ ~~~E'S f~"' ~~~ Own: ~'`~ Rent: a ge of Home:~0 ~
~~ Residential: ~ `
Prior Lake, MN 55 ~/~Z Phone'~`'~i~7~2C~.~ Non-Residential: ~
A. BASEMENT~ ~~ No~ SUMP BASKET ~~,,.~ 1~ 2 ~ 3 ~
WATER IN BASKET ~ Yes o 5UMP P ~~ 1 ~ 2~ O_,,3,,,.~
WATER IN BASEMENT (flow over floor) ~ Yes o CI5TERN ~ Yes l9'1Qo
(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 Q Sanitary sewer Q Outside
at Inspection: Q Floor drain ~ Other ~--
Prior to Inspection: ----
When was system installed, or most recently modified? (Date) and why
~ Home came with system O Response to inspection program ~ Other
~ Water in basement ~ Previous ystem failed
B. ROOF LEADERS: es ~ No DISCHARGE: Q Near ~'A"way
C. YARD DRAIN5 ~ Yes L~_~'"N~~ WINDOW WELLS ~ Yes ~
BEAVER SYSTEM I~ Yes ~1Vo
D. PROPERTIES WITH SUMP PUMPS
When does pump run? O Fall ~ Summer t7 Spring ~.~.~3- Winter
(check all that apply) How often does pump run?
V~here does pump discharge to outside? O Front C] Back --17 Side
NOTES:
SUMP PUMP SYSTEM: L~ASS ~! FAIL You have 30 days to bring your system into compliance with current
regulations. When you are ready for reinspection, call 651/644-1469 for an ap '~
Is there another place where clear water enters the sanitary sewer system? I~ Yes Q No
Where is this location?
This area will need to e clear w~er~charges to the storm sewer system.
Inspector<
Resident:.
Date: Z 2 3 -
Date: Z - Z 3 - ,
I Disclaimer: Thisl vist~al inspection is done with due diiigence to find obvious clear water cross-connections I
and does not imnlv the structure meets all Citv Codes.
White: Homeowner Yellow: City Pink: HRG