HomeMy WebLinkAboutSump Pump Inspection~ ~.~
~
~
~F PRIp
~`~ ~ City of Prior Lake
Sump Pump and I/I Reduction
Inspection Form ,~,~,~~~
Name: ~~~-~L
~7"~"/,~ ~l
Date~''~~/,7 Time~~~~a.m./p.m.
` ~~ /~~~ ~1~~ ~/~ r--First Inspectipn ~ Second ~ 3~
Address: /~~ ~t~~ '~ Own: ~''~tent: ~ Age of Home. ~
~ ~ / ~~~ ,~,~,~ Residential: ~]--''"~
Prior Lake, MN 55 ~Z Phone: ~'f Non-Residential: Q
/~-l„vc~c.. ~ ~. -~..
A. BASEMENT es ~ No~ ~ SUMP BASKET 1~ 2 ~ 3 ~
WATER IN BASKET ~ Yes L~''No SiJMP ~P~ C~~ 1~ 2 ~ 3 ~
WATER IN BASEMENT (flow over floor) ~ Yes LzINo CISTERN ~ Yes L9'l~fo
(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 ~ Sanitary sewer
at Inspection: a Floor drain I~ Other __ - -~''
B.
C.
D.
NOTES:
Prior to Inspection
When was system installed, or most recently modified? (Date)
17 Home came with system
Q Water in basement
ROOF LEADERS:
YARD DRAINS
BEAVER SYSTEM
/
and why
~ Response to inspection program ~ Other
Q Prev'ous system failed
es ~ No,~ DISCHARGE: t] Near 19~Away
~ Yes l~.N~'' WINDOW WELLS ~ Yes ~'No
a Yes I~NO
PROPERTIES WITH 5UMP PUMPS
When does pump run? ~ Fall ~ Summer ~ Spr~
(check all that apply) How often does pump run?
V~here does pump discharge to outside? ~ Front ~ Bacl~
~ Winter
~ Side
SUMP PUMP SYSTEM: ~PASS ~ FAIL You have 30 days io bring your system into compliance with current
regulations. When you are ready Jor reinspection, call 651/644-1469 for an intment.
Is there another place where clear water enters the sanitary sewer system? ~ Yes 13 No
Where is this location?
This area will need to be ed s~ clear w~r di,~¢larges to the storm sewer system.
Inspector: %f~
Resident: L ~ c~ ' ~ ~,ti..
~ Outside
Date:
Date:
_ , .,, _
.s_~`,-~~
Disclaimer: This 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