HomeMy WebLinkAboutSump Pump Inspection~~ 4~ PR.I'p~1c',
~ ~ City of Prior Lake
Sump Pump and I/I Reduction
Inspection Form
~.-~ _...~ ---...~
Name: ~~'~"~ ~ 7~~", `~...~ ~ M.~-S Date~ ~ ~~9 / TimeD9s~a.m./p.m.
~~~~ ~~0~~ ~~ First Ins ect' econd ~
Address: Own: p Rent: ~ Age of Home: f~
~~ ~f ~q~ Z~~,~/ Residential: ~
Prior Lake, MN 55~ Phone~7'./ T Non-Residential: ~
~~
A. BASEMENT es Q No~ SUMP BASKET ~ 1 Q 2 ~ 3 ~
WATER IN BASKET ~ Yes o SiJMP P 0 Q 1 ~ 2 ~ 3
WATER IN BASEMENT (flow over floor) a Yes o CISTERN C1 Yes ~.Pd~
(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 O Outside
at Inspection: ~ Floor drain ~ Other
Prior to Inspection: ~
When was system installed, or most recently modified? (Date) and why
~ Home carne with system O Response to inspection program Q Other
~ Water in basement l7 Previou stem failed ~~
B. ROOF LEADERS: es ~ No DISCHARGE: ~ Near Itj.~~way
C. YARD DRAINS Q Yes ~ ~o,/~ WINDOW WELL5 ~ Yes [4~IQo
BEAVER SYSTEM ~ Yes ~'NO
D. PROPERTIES WITH SUMP PUMPS
When does pump run? ~ Fall ~ Summer
(check all that apply) How often does pump run?
V~here does pump discharge to outside? ~ Front
NOTES: y~~'~3/~.I '---.~.~-G•~,; -•---~Q-~ -•.
SUMP PUMP SYS"1'EM: L.0/PASS ~ FAIL You have 30 days to bring your system into compliance with current
regulations. When you are ready for reinspection, call 6511644-1469 for an ap ' ra.
Is there another place where clear water enters the sanitary sewer system? ~ Yes o
Where is this location?
This area will need to b x~d clear wate, isc es to the storm sewer system.
Inspector:
Resident:
Q Spring ~ Winter
r
~ Back ~ Side
~D ~c.1 /..~ J~o cc. -?"s -•-•-•---•-•-•-
Date: 3 - 3 / -
Date: 3- 3 / -
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