HomeMy WebLinkAboutSump Pump Inspection~~ ~~,~c~ e`,~~ c~
City of Prior Lake
Sump Pump and I/I Reduction
Insnection Form
Name: -s~ ~''~Soh ~ R
Address: /6CJ~ 7 ~Q ~~~c~~~c.r~ ~~
Prior Lake, MN 553 7 Z Phone: ~/ ~- 55Z
A. BASEMENT ~'I'es ~ No -
~ SUMP BA5KET l8~'~~0 17 1~ 2 ~ 3 ~
WATER IN BASKET ~ Yes L
No SiJMP P P ~T 0 O 1 ~ 2 ~ 3 O
WATER IN BASEMENT (flow over floor) ~ Yes No CI5TERN ~ Yes ~To~
Date: 3 - ~~ 9R
Time: d ~ /S a.m~
First Inspection I~'' Second Q
Own: L3'' Rent: ~ Age of Home:L~73
Residential: C~'"Y~
Non-Residential: D
(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 Q Sanitary sewer ~ Outside
at Tnspection: ~ Floor drain ~ Other
,~.
A
P~or to Inspection:
When was system installed, or most recently modified? (Date)
a Home came with system
a Water in basement
B. ROOF LEADERS:
C. YARD DRAINS
BEAVER SYSTEM
D. PROPERTIES WITH 5UMP PUMPS
When does pump run? I~ Fall ~ Summer
(check all that apply) How often does pump run?
V~here does pump discharge to outside? ~ Front
NOTES:
Inspector: Date: 3- 5~ `~9
Resident: Date:
SUMP PUMP SYSTEM: ~.~ f"" SS ~ FAIL You have 30 days to bring your system into compliance with current
regulations. When you are ready for reinspection, ca[1651 /644-1469 for an appointment.
Is there another place where clea,z vvater enters the sanitary sewer system? Q Yes. f~YNo
Where is this tocation? ~ ~
This area will need to be fixed so the clear water discharges to the storm sewer system.
Disclaimers This visual inspection is done with due diligence to find obvious clear water cross-connections
and does not imply the structure meets all City Codes.
and why
Q Response to inspection program Q Other
~ Previous system failed
!~-~es ~ No DISCHARGE: O Near ~way/
IJ Yes ~~~ WINDOW WELLS ~ Yes la'No
~ Yes C~' No
~ Spring ~ Winter
~ Back ~ Side
White: Homeowner Yellow: City Pink: HRG
.,..,