HomeMy WebLinkAboutSump Pump InspectionCity of Prior Lake
Sump Pump and I/I Reduction
Insnection Form
~
Name: ~i~- ~'~~1~~ ~~~~ ~ Date~`~~"~ Time:~~y-~a.m./p.m.
S7-S
~~ ~-= ,~j ~ ~~~~~, ~7... ~~~ First Inspection ~ec ~ond ~ ~~
Address: ~ l Own: ~Rent: ~ Age of Home: ~
r7 ~/ Residential: ~---- ~
Prior Lake, MN 55 ~/.~---Phone?~~'~~~~ Non-Residential: ~
A. BASEMENT es ~ No~~ SUMP BA5KET ~~~ 1~ 2 ~ 3 ~
W A T E R I N B A S K E T Q Y e s ~' 1 V o S i J M P~ ~P~_~' 4~~ 0~ 1 ~ 2~,_ 1 7 ~3
WATER IN BASEMENT (flow over floor) ~ Yes C~QO CISTERN ~ Yes t~"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 Q Sanitary sewer Q Outside
at Inspection: Q Floor drain ~ Other ~
Priar to Inspection: -"
When was system installed, or most recently modified? (Date) and why
~ Home came with system O Response to inspection program ~ Other
Q Water in basement Q Previous syst m faile,.~
B. ROOF LEADERS: I~ Yes I~No DISCHARGE: Q Near ~ Away
G YARD DRAINS Q Yes E~~~N '" WINDOW WELi.S es ~ No
BEAVER SYSTEM ~ Yes l~No
D. PROPERTIE5 WITH 5UMP PUMPS
When does pump run? ~ Fall C7 Summer ~ Spring ~ Winter
(check a1L that apply) How often does pump run?
V~here does pump discharge to outside? ~ Front ~ Back ~ Side
NOTES:
SUMP PUMP SYSTEM: ASS ~ FAIL You have 30 days to bring your system into comp[iance with current
regulations. When you are ready for reinspection, caU 651 /644-1469 for an appojrument.
Is there another place where clear water enters the sanitary sewer system? ~ Yes e~No
Where is this location?
This area will need to fi so the cle~'wat~r discharges to the storm sewer system.
Inspector:
Resident:~
Date: ~
Date: 3 - v
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