HomeMy WebLinkAboutSump Pump Inspectionl~'
~,~
~~~
~~ ~
~'
JG
~~
~ Name:
City of Prior Lake
Sump Pump and I/I Reduction
~S ~
Inspection Form ,q~,~~-~-
>
~ ~~~.-~ Date~ ' ~7 Time~~~pa.mJp.m.
~„ ~/f ~ ~ (~~ First Insp~ec ~' ~~" Second ~ ~~
Address. (~ •.~~ "/~it/4,~ ~,(~'(~ Own: L~ Re~n~t: ~~/~ ge of Home. ,
1` ,~ esidential: L4-'"" -~
Prior Lake, MN 55 ~~~ Phone~"~""~'~~~'~Non-Residential: ~
A. ~B~3EMENT t~'es t1 No~~~ SiJMP BASKET 1 17 2~ 3 ~
WATER IN BA5KET ~ Yes L~7'No SLTMP P~ 0~ 1 O 2~ ~ /3 ~~
WATER IN BASEMLNT (flow over floor) ~ Yes C~ ISTERN ~ Yes ~4'0
(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 a Sanitary sewer~-- ~ Outside
at Inspection: ~ 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 ~ dther
~ Water in basement I~ Previous syste ailed
B. ROOF LEA,DERS: ~ Yes o DISCHARGE: O Near ~ Away
C. YARD DRAINS ~ Yes I~~~ WINDOW WELLS Q Yes~ No
BEAVER SYSTEM ~ Yes Q No
D. PROPERTIES WITH SUMP PUMPS
When does pump run? ~ Fall O Summer O S}a~i~g ~ Winter
(check all that apply) How often does pump run?
V~here does pump discharge to outside? ~ Front ~ Ba ~ Side
NOTES:
/~
SUMP PUMP SYSTEM: Q' PASS Q FAIL You have 30 days to bring your system into compliance with curre
regulations. When you are ready for reinspection, caU 651 /644-1469 jor an tntment.
Is there another place where clear water enters the sanita.ry sewer system? ~ Yes No
Where is this location?
This area will need to b ixed~ser'„~e clear ~r ~arges to the storm sewer system.
Inspector:~^ y r
Date: ~ ~v"
Date: ~~
Disclaimer: This visual inspection is done with due diligence to find obvious clear water cross-connections
and does not im 1 the structure meets all Cit Codes.
White: Homeowner Yellow: City Pink:, HRG