HomeMy WebLinkAboutSump Pump Inspection~ 0~ PR~~~A
~~ ~~ ~
/ ~./
~~ J U ~t'a'1
City of Prior Lake
Sump Pump and I/I Reduction
tion Form
_ •~
Name: Qi~i~~G.~~ ~i~~Y Date: ~- Time%~~l.m./p.m.
~~ First Inspec~t' n econd ~
Address: ~~~5~ ~~: ~'(•~~ ~ ~/~ Own: tf'Y''~2ent: ~ -Age of Home:~l~
~j~~ esidential: Caj,. /'~
Prior Lake, MN SS~~i~ Phone:; ~~~7`~~(,~ Non-Residential: ~ `J
~.,~OLc~ ~ ~ ~...-rD~~ ~~~ /
A. BASEMENT es ~ No 5UMP BASKET ~~ 1~ 2 17 3~
WATER IN BASKET Q Yes fZ1~VA SUMF,F fc7~0 ~ 1 ~ 2 O 3
WATER IN BA5EMENT (flow over floor) ~ Yes o CI5TERN Q Yes
t/ ~
(If no pump, place sticker across edge o~ sump caver and basement floor so any removal of cover will
break seal. Skip to Part B of this form.)
Discharge Point ~] Laundry tub I~ Sanitary sewer ~ Outside
at Inspection: i77 Floar drain i~ Other ,---~
Prior to Inspection: -----
When was systern installed, or most recently modafied? (Date) and why
~ Home came with system [~ Response to inspection program a Other
` Q Water in basement Q Previous system failed
B. ROOF LEADERS: es i] No DISCHARGE: Q Near ay
C. YARD DRAINS ~ Yes ~ WINDOW WELLS Q Yes ~.~
BEAVER SYSTEM ~ Yes ~
D. PROPERTIE5 WITH 5UMP PUMP5
When does pump run? a Fall Q Summer Q Spring I~ Winter
(check all that apply) How often does pump run? ~
V~here does pump discharge to outside? ~ Front O Back -- ~ Side
NOTES:
SUMP PUMP SYSTEM: ~ASS Q FAIL You have 30 days to bring your system iruo compliance with current
regulations. When you are ready for reinspection, call 651/644-1469 fnr an app ' ent.
Is there another place where clear water enters the sanitary sewer system? ~ Yes o
Where is this location?
This area will need to ~fixe~o the clea~uvate ischarges to the storm sewer system.
I Inspector: ~~~,,~~"~j~-~°'~..'._.--~ Date: -.23- C~`~- I
Resident: n~so, n~~~ ,_ Date• T2 -~2~-~
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