HomeMy WebLinkAboutSump Pump InspectionCity of Prior Lake
Sump Pump and I/I Reduction
Insnection Form
Name: ,~ ,~/~.~iC /~-~ ~/~i~~C,.~ -S Date~ ~,~--~~Time:~~~.m./p.m.
a // ,,,,,~ Q First In~sp~e ' n ~ Second ~
Address: ~~ ~ l./ /~~~~~~~~ '"''-~ Own: L'~ Ren~t:~"~ ge of Home:~
~y ., Residential: I~'" ~
Prior Lake, MN 55 ~/v~/ Phone~'y~-8~~ ~Non-Residential: ~
, ,
A. BASEMENT ~s ~ No~ SUMP BASKET ~'~~Q 1~ 2 ~ 3 ~
WATER IN BASKET L7 Yes o SUMP P~ ~ 19''0 ~ 1 ~ 2~ ~~ ~
WATER IN BASEMENT (flow over floor) Q Yes QL~Qo CI5TERN ~ Yes @~1Qo
(If no pump, place sticker a~ross 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 ~ Outside
at Inspection: ~ Floor drain ~ Other '
Prior to Inspection: !
When was system installed, or most recently modified? (Date) and why
O Home came with system I~ Response to inspection program ~ Other
O Water in basement ~ Previqus system fail ed
ROOF LEADER5
B 0'"Y
~ N ~
DISCHARGE ~'~
N
.
: o
es : ear
way
' "
C. YARD DRAINS 17 Yes B
~N '' WINDOW WELLS Q Yes ~
No
BEAVER SYSTEM ~ ~~~
Yes ~No
D. PROPERTIES WITH SUMP PUMP5
When does pump run? ~ Fall ~ Summer ~ Spring Q Winter
(check all that apply) How often does pump run? /'"~~
V~here does pump discharge to outside? ~ Front ~ Back Q Side
NOTES:
SUMP PUMP SYSTEM: ~ji~ASS O FAIL You have 30 days to bring your system into compliance with current
regulations. When you are ready for reinspection, ca11657 /644-1469 for an appot ent.
Is there another place where clear water enters the sanitary sewer system? ~ Yes L~#~~Vo
Where is this location?
This area will need~b ed clear wa~discharges to the storm sewer system.
, ~
Inspector:
Resident:~
Date: L- / S - `~ 7
Date: Z -' - .
Disclaimer: This visual inspectio ' e 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
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