HomeMy WebLinkAboutSump Pump InspectionCity of Prior Lake
Sump Pump and I/I Reduction
ection Form
~/ ~/
Name: ~~'~ ~~/ /~ ~ ~ DateN~'~ Tim%.~i~.m./p.m.
`~'~ First Inspe ' L~'~ Second ~
/ ~ ~ f~'~
Address: /~~~"~/~ /oP~'~.~CW7r ~/ Own: ~' Rent: Age of Home: ~~
^ ,~/ ~/ Residential: ~ ~
Prior Lake, MN 55~ Phone: ~"`~' ~'~~'4`~~ Non-Residential: ~
A. BASEMENT ~es ~ No~ ~.~` SUMP BASKET Q 0 1:~4''T~' `2 D 3 ~
WATER IN BASKET O Yes ~~ SUMP ~PUM/P ~ Q 0 ~I Q 2' ~~" ~3 O
WATER IN BASEMENT (flow over floor) ~ Yes 01~6 CISTERN t~ 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 17 Laundry tub ~ Sanitary sewer utside
at Inspection: 17 Floor drain ~ Other
Prior to Inspection:
When was systern installed, ar most recent odified? (Date) "' ~ ~ ~~ and why
~ Home came with system esponse to inspection program ~ Other
~ Water in basement D Previ system failed
V .~-~""
B. ROOF LEADERS ~~~~ es Q No DISCHARGE: ~I Near ~
C. YARD DRAINS Q Yes L~~YT~1 ~~ WINDOW WELLS ~ Yes
BEAVER 5YSTEM ~ Yes LDi1Vo
D. PROPERTIES WITH SUMP PUMPS
When does pump run? 17 Fall ~ 5ummer Spring Q Winter
(check all that apply) How often does pump run? GJ/CE" ~rV /~(~GS
V~here does pump discharge to outside? ~ Front ack ~ Side
NOTES:
~~
SUMP PUMP SYSTEM: Q1~ASS ~ FAIL You have 30 days to bring your system into compliance wuh current
regulations. When you are ready for reinspection, call 651/644-1469 for an appot ent.
Is there another place where clear water enters the sanitary sewer system? Q Yes `L~'~~
Where is this location?
This area will need to b xed~ clear wa~r di~rges to the storm sewer system.
~
Inspector:
Resident:
Date: ..G '-G U-
Date: 4
Disclaimer: Tl}~is visual inspection is done with due diligence to find obvious clear water cross-connections I
and does not implv the structure meets all Citv Codes.
White: Homeowner Yellow: City Pink: HRG