HomeMy WebLinkAboutSump Pump Inspection~
Name:
City of Prior Lake
Sump Pump and I/I Reduction
Inspection Form ,~,~,~J~'
~~~~~c./~ ,~i9GG ~ ~,/~~i~'J `~Date:~~4'" ~~ Tim~~~~ a.m./p.m.
f / /~ ..,i ~~/~irst Inspec ' LzY Second ~
Address. ~~/~~~/ti1 ~~~~~~~ /1 l~ N Own. Re~~n~t. /~ ~ge of Home: ~
~jry~I //,y Residential: ~Y"
Prior I,ake, MN 55..? /N Phone!`~`~/'~~~ Non-Residential: ~
/ vvvvvi~ v~
A. BASEMENT es ~ No SUMP BASKE Q 0 ~ 2 ~ 3 O
WATER IN BASKET IJ Yes o SUMP P 0~ 1 O 2~
WATER IN BASEMENT (flow over floor) ~ Yes o CI5TERN ~ Yes o
w (If no pump, place sticker across edge of sump cover and basement floor so any removal of cover will
break seal. 5kip to Part B of this form.)
Discharge Point ~ Laundry tub ~ Sanitary sewer ~ Q Outside
at Inspection: O Floor drain ~ Other
` Prior to Inspection: ~---
When was system installed, or most recently modified? (Date) and why
O Home came with system O Respon e to inspection program ~ Other
~ Water in basement A~.Pre ' us system failed
B. ROOF LEADERS ~ es Ca No DISCHARGE: ~ Near A`~1' wa
~~ Y~--~
C. YARD DRAINS ~ Yes N WINDOW WELLS ~ Yes ~''No
BEAVER SY5TEM 17 Yes C~~
D. PROPERTIES WITH SUMP PUMPS
When does pump run? O Fall ~ Summer ~ Sprin~_ L7 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: C'l PASS ~1 FAIL You have 30 days to bring your system into compliance with cunent
reguladons. When you are ready for reinspection, call 651 /644-1469 for an ent.
Is there another place where clear water enters the sanitary sewer system? O Yes ~
Where is this location?
This area will need to b e~d,s~er'-fhe clear~v acter~arges to the storm sewer system. ,
Inspector:
Resident:
Date: ' 7' ~ "
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.
White: Homeowner Yellow: City Pink: HRG