HomeMy WebLinkAboutSump Pump InspectionCity of Prior Lake
Sump Pu.mp and I/I Reduction
Insuection Form
~ /
Name: f ~v~/`~' ~~~~~b~i`-`~ Dafle:~~~~ Tim~~~a m./p.m.
~~.- First In~spe~c ' n L'4~~Second ~
Address:~i~~ ~~~ ~ Own: L~'~ Rent: ~ Age of Home;~~
.y ,/~ Residential: L~'~ ~
Frior Lake, MN 55~-~ /~ Phone~'7'~"~~~~ Non-Residential: ~
A. BASEMENT es ~ No~ SiJMP BASKET ~] 1~ 2 ~ 3 ~
WATER IN BASKET ~ Yes o 5UMP PUl}~P' ~~ ~ 1 Q 2 Q 3 O
WATER IN BASEMENT (flow over floor) ~ Yes ~o CISTERN ~ Yes ~'Ao
(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 O Laundry tub ~ Sanitary sewer ^ Cl Outside
at Inspection: (~ Floor drain d Other
.~''~
Prior to Inspection:
When was system installed, or most recently modified? (Date) and why
~ Home came with system ~ Response to inspection program ~ Other
Q Water in basement ~ Previous syste failed
B. ROOF LEADERS: O Yes N[~' o DISCHARGE: ~ Near ~ Away
C. YARD DRAINS ~ Yes ~~~~ WINDOW WELLS Q Yes I~''No
BEAVER SY5TEM ~ Yes NC9' o
D. PROPERTIES WITH SUMP PUMPS
When does pump run? ~ Fall ~ Summer ~ Sprin ~ Winter
(check all that apply) How often does pump run?
Vt~here does pump discharge to outside? ~ Front ~ Back Q Side
NOTES:
SUMP PUMP SYSTEM: PASS ~ FAIL You have 30 days to bring your system into compliance with current
` regutations. When you are ready for reinspection, ca11657/644-1469 jor an appo~ ent.
Is there another place where clear water enters the sanitary sewer system? I~ Yes [U~1Vo
Where is this location?
This area will need t f so the cle w dis harges to the storm sewer system.
Inspector: Date: - -
Residen _ _, _ Date:
I Disclaimer:J~'his visual inspection is done with due diligence to find obvious clear water cross-connections I
and does ~t imply the structure meets all City Codes. ~
White: Homeowner Yellow: City Pink: HRG