HomeMy WebLinkAboutSump Pump InspectionCity of Prior Lake
Sump Pump and I/I Reduction
Ins~ection Form
r(1 ~ ~
~ I Name: ,~i~-~~V .~~/t,/, c,~~,~C/,~~ Date: "~" ~~
~~ ~ ~--
, / First Insp~ec n~-`"5econd C) d~ Q S,
Address: ~~Q~Qj ~l/D~ ~ir°~G~~D.D ~U Own: IJ'' Rent: ~. Age of Home: ~
~ , / /~ ,r-~ /~ esidential: L~''~~
Prior I,ake, MN 55 ~~ Phone: ~''~'y ~`"f Non-Residential: ~
/ / ,
A. ( BASEMENT [~'I'es ~ No~ ~.-~ SUMP BASKET I~~ ~d 1 ~ 2 ~ 3 ~
WATER IN BASKET 17 Yes ~'No SiJMP ~P~ Q 0 Q 1 ~ 2 ~ 3 Q
WATER IN BASEMENT (flow over floor) ~ Yes L~J'No CISTERN ~ Yes Lg1~To
(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 •--~ 17 Outside
at Inspection: ~ Floor drain O Other
Prior to Inspection:
When was system installed, or most recently modified? (Date) and why
~ Home came with system ~ Response to inspection program a Other
~ Water in basement ~ Prev' s system failed ,-
B. ROOF LEADERS: "'f ~a d~No DISCHARGE: ~ Near way
~ ~/
C. YARD DRAINS ~ ~ Yes ~~~~ WINDOW WELLS ~ Yes l~ No
BEAVER SYSTEM ~ Yes [~'No
D. PROPERTIES WITH SUMP PUMP5
When does pump run? 17 Fall ~ Summer ~ Spring ~ Winter
(check all that apply) How often does pump run? ~-
V~here does pump discharge to outside? ~ Front D Back O Side
NOTES:
~
SUMP PUMP SYSTEM: L~PASS a FAIL You have 30 days to bring your system into compliance with current
regulations. When you are ready for reinspection, ca[l 651/644-1469 for an intment.
Is there another place where clear water enters the sanitary sewer system? ~ Yes C9~'No
Where is this location?
This area will need to be d so clear w~tcr ' rges to the storm sewer system.
I Inspector: • /GG"` ~~"""'' Date: 'Y -~ _ 7 7 I
Resident: ; ~a,,,,.,~ ~ ~c~~t, ~.CI'~ Date:
Disclaimer: This visual inspection is done with due diligence to find obvious clear water cross-connections
and does not imulv the structure meets all City Codes.
Tim~~~da.m.lp.m.
White: Homeowner Yellow: City Pink: HRG