HomeMy WebLinkAboutSump Pump Inspection1 ~(.'4 i~ ~'")
C
~ 5Q ~
City of Prior Lake
Sump Pump and I/I Reduction
Inst~ection Form
Name: ~-~'~ S o~ , ~'f~~_T
Address: ~ ~~G'~9 MAn ~~o ~ ~(
Prior Lake, MN 55 3yZ Phone: y`~~~ ~ 3S
Date: 3~ y-~ Time: 9'Qv .~m /p.m.
First Inspection G~ Second C7
Own: ~ Rent• Age of Home: /9 7
Residential: ~
Non-Residential: ~
A. BASEMENT t~Yes ~ No~~- SiTMP BASKET ~~ 1 ~ 2 ~ 3 ~
WATER IN BASKET ~ Yes f~'No SLTMP PUIYIP ~ a 1 ~ 2 ~ 3 ~
WATER IN BASEMENT (flow over floor) ~ Yes ~1o CISTERN ~ Yes '[~'l~o~J
(If no pump, place sticker across edge of sump cover and basement floor so any removai of cover will
break seal. Skip to Part B of this form. )
Discharge Point ~ Laundry tub O Sanitary sewer C7 , Outside
at Inspection: a Floor drain ~ Other
~
Prior to Inspection:
When was system installed, or most recently modified? (Date) and why
17 Home came with system D Response to inspection program d Other
Q Water in basement O Previous system failed
B. ROOF LEADER5: ~~ No DISCHARGE: ~ Near ~Away
C. YARD DRAINS LoJ" Yes ~
,~' WINDOW WEI.~S ~ Yes ~'"iVo
BEAVER SYSTEM ~~ ~
~ Yes @~'No
D. PROPERTIES WITH SUMP PUMPS ~
When does pump run? Q Fall ~ Summer ~ Spring Q Winter
(check all that apply) How often does pump run?
V1Fhere does pump discharge to outside? O Front ~ Back C] Side
NOTES: ~---•--r~--~ • ~rAiit •sri Dl~v --c~e~ -•~•'/.+~L --•-•-•_•-•-•-•-•-•-•-•- -•-•-•-•-•-•-•-•---•-----•-•-•-
SUMP PUMP SYSTEM: ~~`~,P,ASS a FAIL You have 30 days to bring your system intn compliance with current
regulations. 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 ~' No
Where is this location?
This area will need to be fixed so the clear water discharges to the storm sewer system.
Inspector:
Resident:
Date: ~
Date: . ~ ~
Disclaimer: This visual inspection is done with due diligence to find obvious clear water cross-connections
and does not impl_y the structure meets all City Codes.
White: Homeowner Yellow: City Pink: HRG