HomeMy WebLinkAboutSump Pump Inspection} C
I i~
~~
0
,~~~C~
~~
~~~
City of Prior Lake
Sump Pump and I/I Reduction
Inst~ection Fo
~P~7'
~ '/ /~ ,,~ '
Name:~i~V~O~ ~{Ji~~~~G~ Date•s ~~~9 Time~~~Qa.m./p.m.
~~
~~~ ,~.
~/ -~-'~
Address: /~.2 ~~ / ti~~~ ~'
~ First Ins ion L~''" Second ~
C.~ ~ Own: Rent: Age of Home:
~
~C.
r~
Prior Lake, MN 55 ~/~ Phon~'~• ,,,,. Residential:
Da~ /~ Non-Residential: Q ,,,~
, ... ~ -
A. BASEMENT es~~~~ o SiJMP BAS D 0 ~ ~/~ 2~ 3 ~
WATER IN BA5KET CO~Yes ~ No SUMP P ~ 0 I~' 1 Q 2 ~ 3
WATER IN BASEMENT (flow over floor) ~ Yes o 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 ~ Laundry tub ~ Sanitary sewer tside
at Inspection: ~ Floor drain ~ Other
Prior to Inspection:
When system installed, or most recently modified? (Date) and why
12l Home came with system ~ Response to inspection program ~ Other
~ Water in basement ~ Pre ' us system failed
B. ROOF LEADERS: Yes ~ N ~ DISCHARGE: Q Near ~'~way
C. YARD DRAINS ~ Yes ~ WINDOW WELLS ~ Yes L'~l~No
BEAVER SYSTEM ~ Yes C!~'No
D. PROPERTIES WITH SUMP P ~~
When does um run? all f ~' Summer S rin Wi er
P P ~~~~
(check all that apply) How often does pump run? /~~~ ~~~
Where does pump discharge to outside? Q Front ~ Back i e
NOTES:
~''`,
SUMP PUMP SYSTEM: ~FASS ~ FAIL You have 30 days to bring your system into compliance with current
regulations. 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? ~ Yes L~~!~
Where is this location?
This area will need to e~o the cl~ w~ discharges to the storm sewer syst~.
Inspector:~,.~
Resident: „ -- y
Date• ti ~
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