HomeMy WebLinkAboutSump Pump InspectionI ~ ~F PRIp~'
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City of Prior Lake
Sump Pump and I/I Reduction
Insuection Form
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Name: /E/~~~~~U~ J~ ~~~~ Dat~~~~~ Time: Op~a.m./p.m.
~~~~~~„ ,,.,.s/ ~~- First In~sp~ on L~ Second ~
Address: ~ ~~~ Own: ~'' Rent: Age of Home:~
, ,~/ ccc~~~ Residential: ~ ~
Prior Lake, MN 55 ~~~ Phone:T~~'"f~ Non-Residential: ~
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A. BASEMENT es Q No SiJMP BASKET ~~~ ~ 1 ~ 2 ~ 3 ~
WATER IN BASKET ~ Yes o SiJMP P~ lJ' 0~ 1 t~ 2~~~ ~
WATER IN BASEMENT (flow over floor) ~ Yes L~Y~1o CI5TERN I~ Yes L~-?~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 ~ Sanitary sewer~ ~ Outside
at Inspection: Q Floor drain Q Other
Prior to Inspection: -~'~
When was system installed, or most recently modified? (Date) and why
~ Home came with system ~ Response to inspection program ~ Other
~ Water in basement ~ Pre 'ous system failed
PA~ ~-'" ~/''~
B. ROOF LEADERS: ~ J„~ Yes No DISCHARGE: ~ Near C4~Away
A ~ ~_~.--~
C. YARD DRAINS ~~'~ ~~ V d E Yes 17 No WINDOW WELLS ~ Yes C4~iVo
B E A V E R S Y 5 T E M U~'~(u ~ Yes ~ No
pR~{ t,l~j ~ 7
D. PROPERTIES WITH SUMP PUMPS
When does pump run? ~ Fall ~ Summer ~ Spr~ C~ Winter
(check all that apply) How often does pump run?
Vi~here does pump discharge to outside? Q Front ~ Baek ~ Side
NOTES:
SUMP PUMP SYSTEM: ASS I~ FAIL You have 30 days to bring your system into compliance with current
regutations. When you are ready for reinspection, ca11651 /6A+L-1469 for an ent.
Is there another place where clear water enters the sanitary sewer system? 17 Yes NE~'~~~
Where is this location?
This area will need to be ed e clear w r' arges to the storm sewer system.
Inspector: ' Date: "
Resident: ~,(~-c~y~~' ~ r ~,,-r,~.--,., 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