HomeMy WebLinkAboutSump Pump Inspectionf~(~~~~~~~ ~QF PRIp~~
Z~ ~ ~
City of Prior Lake
Sump Pump and I/I Reduction
Insnection Form
Name: h`~~~~'h ,~~° r r~ Date: 2- ~~1- 99 Time: ~: oc~ ~p.m.
F£~st Inspection 1~` Second O
Address: l6 l6 3 NOr~'vo`~' '~''~/ O~?vn: ~''~ Rent: Q Age of Home:
Residential: [~7'~
Prior Lake, MN 55 37Z. Phone: ~/y7- 442`fi Non-Residential: a
A. BASEMENT ~ d No 5iJMP BASKET tD~/ ~ 1 a 2 Q 3 ~
WATER IN BASKET ~ Yes ~ No SiJMP PUMP B'0 D 1 ~ 2 ~ 3 t]
WATER IN BASEMENT (flow over floor) L7 Yes ~ No CISTERN ~ Yes ~o
(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 O Sanitary sewer ~ Outside
at Inspection: ~ Floor drain ~ Other
Prior to Inspection:
When was system installed, or most recently modified? (Date) and why
~ Home came with system I~ Response to inspection program ~ Other
Q Water in basement ~ Previous system failed
B. ROOF LEADERS: ~ Yes ~No DISCHARGE: ~ Near ~ Away
C. YARD DRAINS ~ Yes Q',~ WINDOW WELLS ~ Yes f~1~fo
BEAVER SYSTEM ~ Yes l'~' N o
D.
NOTES:
~ Spring ~ Winter
~ Back O 5ide
SUMP PUMP SYSTEM: ~ASS ~ 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 pointment.
Is there another place where clear water enters the sanitary sewer system? O Yes No
Where is this location?
This area will need to be fixed so the clear water discharges to the storm sewer system.
Inspector: Date: 2- Z 5r- ~`~
Resident: Date:
Disclaimer: 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.
PROPERTIE5 WITH SUMP PUMPS
When does pump run? ~ Fall ~ Summer
(check all that apply) How often does pump run?
V~here does pump discharge to outside? ~ Front
White: Aomeowner Yellow: City Pink: HRG