HomeMy WebLinkAboutSump Pump Inspectionn ~'7
'~~
~ ~~ ~
~
City of Prior Lake
Sump Pump and I/I Reduction
Inspection Form ,~,~,~~-r
Name:~~/~~•~~~~ ~ -C~~~ ~/~ Date~ ~'~,~ Tim~O~~a.m./p.m.
// ~jO ~/~~ ~..~~ ~ ~ First Inspec ' ~cond ~ / ,. y
Address: ~110 Own: Rent: Age of Home: ~~
~~/ ~ /~ ~ „~ / Residential:
Prior Lake, MN 55_ / Phone• ~~~ ~ Non-Residential: ~
A. BASEMENT es O N SiJMP BASKET ~ 0,,~~~ 2~ 3 ~
WATER IN BASKET s~ No SiJMP~~~ ~r a 1 O 2~
WATER IN BASEMENT (flow over floor) ~ Yes o CISTERN Q Yes o
(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 O Sanitary sewer ~ Outside
at Inspection: ~ Floor drain ~ Other
Prior to Inspection:
When w stem installed, or most recently modified? (Date) and why
Home came with system ~ Response to inspection program ~ Other
~ Water in basement ~ Previous syste iled
B. ROOF LEADERS: ~ Yes o DISCHARGE: ~ Near Q Awa
C. YARD DRAIN5 ~ Yes ~~N ~ WINDOW WELLS s~ No
BEAVER SYSTEM ~ Yes f~'No
D. PROPERTIES WITH SUMP PUMPS
When does pump run? ~ Fall d Summer ~ Spring t'7 Winter
(check all that apply) How often does pump run? ~°---"~
Wihere does pump discharge to outside? ~ Front O Back ~ Side
NOTES:
SUMP PUMP SYSTEM: L~'~ASS ~ FAIL You have 30 days to bring your system into compliance with cur~ent
regulations. When you are ready for reinspection, call 651 /644-1469 for an appoi .
Is there another place where clear water enters the sanitary sewer system? ~ Yes o
Where is this location?
This area will need to be fi ~e clear~er d~' charges to the storm sewer system. '
Inspector: .~"'"" Date: ~ "-~' ~ 7
Resident: ~ _~ ~~ ~ ~~,,~°l Date: a
,
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