HomeMy WebLinkAboutSump Pump InspectionCity of Prior Lake
Sump Pump and I/I Reduction
i~~~ ~~~~ ~
Inspection Form ,~,~,~J~
~~ Y~p~f T Date~~~` ~~ Time,Y~a.m./p.m.
/ ~(~f 1 First In,~s~~ on ~d ~
Address: /~~~~ ' f//~~1 ~~ ~~/~-~'~ Own: CI ReLnt:~ Age of Home: ~
~y, Residential: l~ ~
Prior I~ake, MN 55 ~-~ /~ Phone:~~~ 1 0~ f ~ Non-Residential: 17
A. BASEMENT (~es ~~e SUMP BASKET ~ 0 C~~" 2~ 3 ~
WATER IN BASKET C.7'~es a No SITMP P~` "~ Q Q 1~ 2 ~ 3.Q
WATER IN BASEMENT (flow over floor) a Yes ~~~QO CISTERN ~ Yes ~
(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 ~ Sanitary sewer utside
at Inspection: ~ Floor drain ~ Other
Prior to Ins ction:
When system installed, or most recently modified? (Date) and why
Home came with system O Response to inspecti on program 17 Other
17 Water in basement Q Previous syste ailed
B. ROOF LEADERS: ~ Yes ~ o
~ DISCHARGE: t7 Near ~ Away
C. YARD DRAINS ~ ~~
Yes WINDOW WELLS Q Yes N~ o
BEAVER SYSTEM ~ Yes L~l~"No
D. PROPERTIES WITH SUMP PUMPS
When does pump run? Q Fall ummer S ri ~ 'nter
(check all that apply) How often does pump run? J~~~- /~ 1
Vi~here does pump discharge to outside? a Front a Back e
NOTES: /
SUMP PUMP SYSTEM: ~I'PASS ~ FAIL Yau have 30 days ta bring your system into compliance with current
regulations. When you are ready for reinspection, call 651/644-1469 for an appoinr .r-~--
Is there another place where clear water enters the sanitary sewer system? a Yes o
Where is this location?
This area will need to fix e clear at~scharges to the storm sewer system.
, _ _ _
I Inspector• G~`""` "" `-------'' Date: ~'-~ ~' 7~ I
Resident: ~ Date: p-
Disclaimer: This visual inspection is done with due diligence to find obvious clear water cross-connections
and does not imply the structure meets all Cit_y Codes.
White: Homeowner
Yellow: City
Pink: HRG