HomeMy WebLinkAboutSump Pump InspectionCity of Prior Lake
Sump Pump and I/I Reduction
Ins~ection Form
~/ /t ~ ~ ~.
Name: `~ O~~i~~~~ T ~s~~~~~~ Dat~:.~ ~~"~ / Time! ~~~a.m./p.m.
,,~ // ",~~ First Inspection ~-7"" Second ~
Address: ~ 7 G" ~~ ~" 1<~S~L~~~ ~-~ Own: ~"kent: ~ Age of Home:~ ~
r,~ Residential: ~-
Prior ake, MN 5~/~ Phone~/Z'~7~~ ~~~~Non-Residential: ~
~_ , . ., _ i
~ ~.. .... ...,..., ,f.,._-
A. BASEMENT es ~ SiJMP BASKET ~ 0 1~ 2 Q 3 O
WATER IN BASKET es ~ No SiJMP PUM~,~' ~ 1 O 2 ~ 3 ~
WATER IN BASEMENT (flow over floor) L~ Yes ~~o CISTERN ~ Yes ~,Akr''~
(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 ~ Sanitary sewer,,,~_ Q Outside
at Inspection: ~ Floor drain ~ Other
Prior to Inspection: ~
When w system installed, or most recently modified? (Date) and why
L9~ Home came with system ~ Response to inspection program ~ Other
~ Water in basement ~ Previous syste ..failed
,B. ROOF LEADER5• -~ 1 I~ Yes ~iQo DISCHARGE: Q Near Q Away
~~0 _~~ ~~~..--~
C. YARD DRAINS ~~~Q?~fo L~l'Yes ~ N~'' WINDOW WELLS ~ Yes C9~~Vo
BEAVER SYSTEM~~~yN~ ~ Yes ~/No
D. PROPERTIES ~HySUMP PUMPS
When does pump run? ~ Fall Q Summer. ~ Spring ~ Winter
(check all that apply) How often does pump run? "~
V~here does pump discharge to outside? ~ Front ~ Baek ~ Side
NOTES:
~
SUMP PUMP SYSTEM: f9~PASS ~ FAIL You have 30 days to bring your system into compliance with current
regulations. Whem you are ready for reinspection, ca[l 651 /644-1469 for an omtment.
Is there another place where clear water enters the sanitary sewer system? L"a Yes Q'No
Where is this location?
This area will need ~ b fi _ o the clea~i~06ate~ischarges to the storm sewer system.
Inspectar: ~'" ~- Date: ~ ~ j0 -
Resident: . !,1 ~ _ Date: ~ • 3v -
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