HomeMy WebLinkAboutSump Pump Inspection~ ~; aF PRro
/~ ~ ~
,,,~ U ~i~7
~
Inspection Form ~,~~J~r'
/~~
Name:/~ O~~/C~~ /~~~~'~~ Dat~ %~~- ~~ Time~~a~a.m./p.m.
/~~ ~'~' ~~ First In~sp~ ion L~ Second ~
Address:~~~ G~'/~~Q~ ~~~~~ Own: LzJ' Rent: Age of Home 28
r~ Residential: ~ ~
' ~~~ ~/~y8
Prior Lake, MN 55 ~.J /~~ Phone: Non-Residential: ~
A. BA5EMENT ~'S~es ~ No ~/~ 5UMP BA5KET ~~' ~ 1 ~ 2 ~ 3 ~
WATER IN BASKET 17 Yes ~'No 5UMP~ ~P~~ O 0 ~ 1 O 2~ Q/ 3 ~
WATER IN BASEMENT (flow over floor) ~ Yes D' N o CISTERN D Yes ~' No
(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 ~ Outside
at Inspection: ~ Floor drain ~ Other -''"
Prior to Inspection: /
When was systern installed, or most recently modified? (Date) and why
~ Home came with system
~ Water in basement
B. ROOF LEADERS:
C. YARD DRAINS
BEAVER 5YSTEM
~ Response to inspection program Q Other
~ Pre 'ous system failed
6f'~es ~ No DISCHARGE: ~ Near wa
Y
~ Yes o WINDOW WELLS ~ Yes t7 No
~ Yes No
D. PROPERTIES WITH SUMP PUMPS
When does pump run? D Fall O 5ummer ~ Spring ~ Winter
(check all that apply) How often does pump run? '
V~here does pump discharge to outside? O Front ~ Back ~ Side
NOTES:
SUMP PUMP SYSTEM: IIX YASS O FAIL You have 30 days ta bring your system uuo compliance with current
regu[ations. When you are ready for reinspection, call 651 /644-1469 for an ap ent.
Is there another place where clear water enters the sanitary sewer system? ~ Yes L#''~~
Where is this location?
This area will need to be ed e clear ~er ~Aarges to the storm sewer system.
Inspector: .-~--- ~
Resident: ., ' H- ~-- ~-
Date: ..3- ~~-
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.
City of Prior Lake
Sump Pump and I/I Reduction
White: Homeowner Yellowc ~ity Pink: HRG