HomeMy WebLinkAboutSump Pump Inspectiona~ PRIp~
U~ ~ City of Prior Lake
Sump Pump and I/I Reduction
Inspection Form
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Name: ~ Date: + ~ Time!~/'7--~ a.m./p.m.
Address: ~Z~ ~
,
O~ ; ~ First Inspection &~~'~'~~f nd ~ ~~
~~~ Own: ~ Rent: L~" Age of Home. Y
.•f Residential: ~'"'R ~.1
Prior Lake, MN 55~7Z Phone~~p'~~'~ Non-Residential: O
A. BASEMENT ~s L7 No ~ ~,-~ SiTMP BASKET 1~ 2 ~ 3 Q
WATER IN BA5KET ~ Yes D~o SiJMP P~ 0~ 1 ~ 2~ ~~.~'~
WATER IN BASEM`ENT (flow oyer floor) a Yes ~~~Qo CISTERN ~ Yes NCJ 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 sewe~ ~ Outside
at Inspection: ~ Floor drain ~ Other
Prior to Inspection: '~`'
When was system installed, or most recently modified? (Date) and why
~ Home came with system Q Response to inspection program ~ Other
Q Water in basement Q Previous system failed
B. ROOF LEADERS: Q'Yes ~ No DISGHARGE: ~ Near ~"Away
'i'
C. YARD DRAINS ~ Yes WINDOW WELLS Q~~'i'es ~ No
BEAVER SYSTEM ~ Yes o
D. PROPERTIES WITH SUMP PUMPS
When does pump run? ~ Fa11 ~ Summer C~ Spri~g D Winter
(check all that apply) How often does pump run?
Where does pump discharge to outside? ~ Front ~ Bac~-- ~ Side
NOTES:
SUMP PUMP SYSTEM: ASS ~ FAIL You have 30 days to bring your system into compliance wuh current
regulations. When you are ready for reinspection, call 651 /644-1469 for an ent.
Is there another place w e clear water enters the sanitary sewer system? ~ Yes ~
Where is this locatio .
This area will need o the ~le , w r discharges to the storm sewer system.
,
Inspector• Date: "
Resident: ,~ e:-i~i , Date: -
Disclaimer: Th~visual i~spection is done with due diligence to find obvious clear water cross-connections
and does not imulv the structure meets all Citv Codes.
White: Homeowner Yellow: City Pink: HRG