HomeMy WebLinkAboutSump Pump Inspectionr1 ~.? a~ PRIp~
~~~ L~ ~~ ~
City of Prior Lake
Sump Pump and I/I Reduction
In~
Name: ./~ ~•(,/ C~ . ./~4~/"~'~ ~- ~
tion Form
Date:!"~--"~~`~~ Time~-1'~~m./p.m.
J~~ ~ , ~ ~~/~pu ' !~. First Irtspe~c on ~ Second ~
Address: / ~ ~ ~D ~ Q~w~.; i~' Rent: ~ Age of Home:
~j ,/ Residential: ~''~ a~
Prior Lake, MN 55~/~ Phone'Y~~ ~~~ Non-Residential: ~
,~,,~ c~u..c..~r. . _ ,
A. BASEMENT ~s O No r 5UMP BASKE~' O 1 ~ 2 d 3 Q
WATER IN BASKET O"Y~a ~~I"No SiJ1ViP~]~P 0~ 1 ~ 2 ~,~`3 Q
WATER IN BA5EMENT (flow over floor) ~ Yes o CISTERN ~ Yes I~To
(If no pump, place stick~r ~~'ASS edge of sump cover and basemen~ floor so any removal of cover will
break seal. Skip to Part B of tl~is form.)
Discharge Point ~ Laundry tub O Sanitary sewer ~ t7 Outside
at Inspection: [7 Floor drain [~ Q~er
Prior to Inspection: /
~ When was system installed, or most recently modified? (Date) and why
~ Home came with system L9 ~esponse to inspe~~iA~ ~tpg~~ ~l Other ~„~
Q Water in basement I~ Previous syst ~il~d
B. ROOF LEADERS: ~ Yes o DI~CHARGE: ~ Near Q Away
C. YARD DRAINS ~ Yes 1 9~~ ~N "~ WINDOW WELLS ~ Yes t~N'o
BEAVER SYSTEM L'7 Yes [~YNo
D. PROPERTIES WITH SUMP PUMPS
When does pump run? O Fall ~ Summer l7 Spring a Winter
(check all that apply) How often does pump ntn? ''"~
V~here does pump discharge to outside? 17 Front ~] Back Q Side
NOTES:
SUMP PUMP SYSTEM: ASS O FAIL You have 30 days to bring your system into compliance with Current
"' ''` regulntions. When you are ready for reinspection, call 651/644-1469 for an appointment.
Is there another place where clear water enters the sanitary sewer system? ~ Yes Q~No
Where is this location?
This area will need to be d so clear wate di ges to the storm sewer system.
Inspector: ~ `C Date:
Resident: ~ Date: / -,34 -
Disclaimer: This visual inspection is done with due diligence to find obvious clear water cross-connections
and does not imply the structure meets ail City Codes.
White: Homeowner Yellow: C%ty Pink: HRG