HomeMy WebLinkAboutSump Pump Inspection?;' ? ~ ~'t2 I P G7
City of Prior Lake
Sump Pump and I/I Reduction
Insnection Form `~
Name: ~o~~ot ~ t~r~ce s An,~
Address: ~ S~SZ Ma --~ ~~ ~0~'' '~dl ~~
Prior Lake, MN 55 37Z Phone: ~1 y0- SSgS
Date: 2- ~~-~ Time: 2: 3oa.m~
First Inspection Ca'' Second Q
Own: f~~ Rent: ~ Age of Home:
Residential: C~''~
Non-Residential: ~
A. BASEMENT fi~Yes D No SUMP BASKET f~~ /0~ Q 2 a 3 ~
WATER IN BASKET ~ Yes I~''~To SUMP P~ P C4' 0 Q 1 ~ 2~ Q~ ~
WATER IN BASEMENT (flow over floor) ~ Yes !~'No CIS1'ERN ~ Yes ~'No
(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 t7 Laundry tub ~ Sanitary sewer ~ Outside
at Inspection: ~ Floor drain Q Other
Prior to Inspection:
When was system installed, or most recently modified? (Date)_
Q Home came with system ~ Response to inspection program
~ Water in basement Q Previous system failed
O Other
and why
B. ROOF LEADERS: fi~' Yes ~ No DISCHARGE: ~ Near L~ Away
G YARD DRAINS ~ Yes l~~~' ~N WINDOW WELLS a Yes Y~o
BEAVER SYSTEM D Yes L~"No
D. PROPERTIES WITH SUMP PUMPS
When does pump run? ~ Fall ~ Summer ~ Spring ~ Winter
(check all that apply) How often does pump run?
V~here does pump discharge to outside? O Front ~ Back ~ Side
NOTES:
SUMP PUMP SYSTEM: SS Q FAIL You have 30 days to bring your system into compliance with currem
regulations. When you are ready for reinspection, ca[1651/644-1469 for an appointment.
Is there another place where clear water enters the sanitary sewer system? ~ Yes f~No
Where is this location?
This area will need to be fixed so the clear water discharges to the storm sewer system.
Inspector: Date: Z- / 7- 99
Resident: ,r _ _ _ Date:
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