HomeMy WebLinkAboutSump Pump Inspection~ ~-^ ~~c~
G~~
2~~
City of Prior Lake
Sump Pump and I/I Reduction
Ins~ection Form
Name: !.x~ ~~~ f --~a ~ r~
Address: ~~' Z~O PA /2~~ ~ V
Prior Lake, MN 55 3 7Z Phone: ~y~ / 0~3
Date: 3-3-9'-~ Time: ~/'OC a.m
First Inspection ~ Second ~
Own: G~'"~Rent: ~ Age of Home:~
Residential: [~/~
Non-Residential: ~
A. BASEMENT es ~ No SiJMP BASKET Id u 1~ 2 ~ 3 ~
WATER IN BASKET ~ Yes ~.~e- SUMP PUMP ~ 1 ~ 2 ~ 3 ~
WATER IN BASEMENT (flow over floor) ~ Yes ~ CISTERN ~ Yes ~
(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 a Laundry tub ~ Sanitary sewer ~ Outside
at Inspection: Q Floor drain ~ Other
Prior to Inspection: ;
When was system installed, or most recently modified? (Date) and why
~ Home came with system ~ Response to inspection program ~ Other
~ Water in basement ~ Previous system failed
B. ROOF LEADER5: ~ Yes L9-~o DISCHARGE: ~ Near ~ Away
C. YARD DRAINS ~ Yes I~~'~N~' WINDOW WELL5 Q Yes ~-'N'o`
BEAVER 5YSTEM ~ Yes ~~Vo
D. PROPERTIES WITH SUMP PUMPS
When does pump run? O Fall ~ Summer
(check all that apply) How often does pump run?
V~here does pump discharge to outside? I~ Front
NOTES:
Q Spring ~ Winter
I~ Back ~ Side
SUMP PUMP SYSTEM: ~PASS ~ FAIL You have 30 days to bring your system into comp[iance with current
~ regulations. When you are ready for reinspection, ca[[ 651 /644-1469 for an appointment.
Is there another place where clear water enters the sanitary sewer system? ~ Yes ~
Where is this location?
This area will need to be fixed so the clear water discharges to the storm sewer system.
Inspector: Date: ~~ ~- ~~
Resident: _ _ 2. ~ i. ,~ n~~____- Date: 2- 3- G'i ~
Disclaimer: `I'his visual inspection is done with due diligence to find obvious clear water cross-connections
and does not impl_y the structure meets all City Codes.
White: Homeowner Yeliow: Ciry Pink: HRG