HomeMy WebLinkAboutSump Pump InspectionCity of Prior Lake
Sump Pump and I/I Reduction
/~~~~ ~~ /~ /~~ First In~s ~e on L Second ~
Address: ~~ ~~~ Own: L~'" Rent: Age of Home: ~~
~/ ,~ /~/~// Residential: ~ ~
Prior Lake, MN 5~/~ Phone:T"r~"^Ylo~~ Non-Residential: ~
A. BASEMENT es ~ No SiTMP BAS T Q 0 1~ 2 ~ 3 ~
WATER IN BASKET ~ Yes o SUMP P 0 Q 1 ~ 2 ~,~/ ~
WATER IN BASEMENT (flow over floor) ~ Yes o CISTERN ~ Yes LL~1Qo
~/j ~
L~s~i~ +Q f~.. /C~~1,~,~ Date~~5 ' ~ ~ Time:~~~~a.m./p.m.
~~ i~ ~
L~Y
(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: ~ Floor drain ~ Other
Prior to Inspection:
When was system installed, or most recently modified? (Date)
~ Home came with system
~ Water in basement
B. ROOF LEADER5:
C. YARD DRAINS
BEAVER SYSTEM
Inspection Form ,~~,~~'~
~ Resp e to inspection program ~ Other
and why
d P ious system failed
Yes ~ No DISCHARGE: Q Near Q'Away
~ Yes l°~~ N~ WINDOW WELLS ~ Yes I~No
la Yes Cl~'No
D. PROPERTIES WITH SUMP PUMPS
When does pump run? O Fall ~ Summer ~ Sprin~ 17 Winter
(check all that apply) How often does pump run?
V~Yzere does pump discharge to outside? ~ Front ~ Back -~' L7 Side
NOTES: _
SUMP PUMP SYSTEM: I~PASS , C] FAIL You have 30 days to bring your system into comp[iance with current
regulations. When you are ready for reinspection, call 651/644-1469 for an pot-ument.
Is there another lace where clear water enters the sanita sewer s stem? ~ Yes l~" No
P rY Y
Where is this location?
This area will need to e clear ter ' charges to the storm sewer system.
Inspector: Date: - /..5~-
Resident: Date: -/ ~
Disclaimer: Th visual ins ction is done with due diligence to find obvious clear water cross-connections
and does not imnlv the structure meets all Citv Codes.
White: Homeowner Yellow: City
Pink: HRG