HomeMy WebLinkAboutSump Pump InspectionCity of Prior Lake
Sump Pump and I/I Reduction
ion Form
Name: r C~Z- ~~ ^ ~~ ~ ' ~~~ Date~'"'~' ~ ~JTimer'~'2 a m./p.m.
,( ~' ,,,,.,.- ~~ First Inspection ~-~'"Second Q
Address: ~~ O~~ '`~ ~'~ ~~'~~~~~ Own: ~nt: O A e of Home: ~~ S~
g
~ ~ ,~ /, /~, ~ ,~.9U Residential: ~--~'''
Prior Lake, MN 55 ~ Phoney~ ~~ -/ Non-Residential: ~
, ~,, -- - -- - r... ,
A. BASEMENT es~~~ SIJMP BASKET 0 2~ 3 ~
WATER IN BASKET es ~ No SUMP P ~ 0 1 CI 2~ 3
WATER IN BASEMENT (flow over floor) L7 Yes o CI5TERN ~ Yes o
(If no pump, place sticker across edge of sump cover and basement floor so any removal of cov r will
break seal. Skip to Part B of this form.)
Discharge Point ~ Laundry tub O Sanitary sewer utside
at Inspection: Q Floor drain ~ Other
Prior to Inspec ' .
When wa stem installed, or most recently modified? (Date) and why
ome came with system ~ Response to inspection program [] Other
~ Water in basement ~ Previous syste ed
B. ROOF LEADERS:~~ ~~~ ~ Yes o DISCHARGE: ~ Near Q Away
U
C. YARD DRAINS ~~~p ~ es ~ No WINDOW WELLS CI Yes o
BEAVER SYSTE~M ~~ a ~ Yes o
D. PROPERTIES WI~ SUMP PUMPS
When does pump run? O Fall ~ Summer ~ Spring ~ Winter
(check all that apply) How often does pum ? ~~ ~~ ~
VtFhere does pump discharge to outside? ront ~ Back ~ Side
NOTES:
SUMP PUMP SYSTEM: CDigASS l~ FAIL You have 30 days to bring your system into compliance with current
regulaaons. When you are ready for reinspection, ca11651/844-1469 for an ap '~t.
Is there another place where clear water enters the sanitary sewer system? ~ Yes L~~' No
Where is this location?
This area will need to b s the clear wa d' arges to the storm sewer system.
Inspector Date: - Z 7 -
Resident: Date: 3- 2 7-
Disclaimer: is 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