HomeMy WebLinkAboutSump Pump Inspectionn
~~
~°
o~
~~
City of Prior Lake
Sump Pump and I/I Reduction
Inst~ection Form
Name: ~v~- fQvt, ~ G.v~ ~
-~--
Address: ~ ~~`~ ~~ ~~'~ %~ ~'~^ ~(~ t~ ~
Prior Lake, MN 55 ~ 7~2 Phone: ~"~`/~- 7~~ J
Date: ~!~ /'~ ~ `~"~
Time: //~/'` a.m./p.m.
First Inspection Ig
Own: L~' Rent: D
Residential: C~'"
Non-Residential: ~
Second ~
Age of Home: :.~ ~
`c>ufi'~ Gr'~k r ,,~
A. BASEMENT C~Yes [~ No SIJMP BASKET l~ 0~ 1 17 2 Q 3 I~
WATER IN BASKET Ca Yes ~ No SiJMP PUMP 0~ 0 O 1 Q 2 a 3 ~
WATER IN BASEMENT (flow over floor) ~ Yes L~'~To CI5TERN Q Yes ~-P~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
at Inspection:
I~ Laundry tub ~ Sanitary sewer ~ Outside
~ Floor drain Q Other
Prior to Inspection:
When was system installed, or most recently modified? (Date} and why
~ Home came with system ~ Response to inspection program ~ Other
O Water in basement a Previous system failed
B. ROOF LEADERS: ~ Yes C~' No DISCHARGE: ~ Near ~ Away.
C. YARD DRAINS Q Yes ~~To WINDOW WELLS ~ Yes ~ No
BEAVER SYSTEM Ca Yes L'~No
D. PROPERTIE5 WITH 5UMP PUMPS
When does pump run? O Fall ~ Summer D Spring Ca Winter
(check all that apply) How often does pump run?
V~here does pump discharge to outside? ~ Front ~ Back ~ Side
NOTES:
SUMP PUMP SYSTEM: ~ASS ~ FAIL You have 30 days to bring your system into compliance with current
regularions. When you are ready for reinspection, cal[ 651/644-1469 for an pointment.
Is there another place ~v$ere clear water enters the sanitary sewer system? ~ Yes Q' No
Where is this location?
This area wi11 need to be fixed so the clear water discharges to the storm sewer system.
Inspector: ~ ~.-~ ~~^~``~.-------''~ Date: `/- ~~' ~g
Resident: t,_..-- Date: /-/~ ' 9 f
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