HomeMy WebLinkAboutSump Pump InspectionCity of Prior Lake
Sump Pump and I/I Reduction
ction Form
Name: ~L~//~ ~/~~ /U~~" ~7°,G`
~~ ~
Address: ~'~.9D ~~ ~ ~r 4~''~%•
Prior Lake, MN 55 ~~ic~ Phone ~~~ '~y,~~
~ .- ~ - - ~- •,-
A. BASEMENT es ~ o SiJMP BASKET 0 2~ 3 ~
WATER IN BASKET es t7 No SUMP P Q 0 1~ 2 ~ ~
WATER IN BASEMENT (flow over floor) Q Yes o CISTERN ~ Yes ~
(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 L7 Laundry tub ~ Sanitary sewer utside
at Inspection: ~ Floor drain ~ Other
Prior to Ins on:
When systern installed, or most recently modified? (Date) `~- and why
Home came with system Q Respons o inspection program ~ Other
D Water in basement a Prev' s system failed
B. ROOF LEADERS: es d No DISCHARGE: Q Near way
C. YARD DRAINS O Yes L°.~ N WINDOW WELLS O Yes ~~ o
BEAVER SY5TEM ~ Yes o
D. PROPERTIES WITH SUMP PUMPS
When does pump run? D Fall ummer pring,. O Winter
(eheck all that apply) How often does pump run? ~Q~TC'~ 6k n.1 : t1~~ ~
V~here does pump discharge to outside? O Front ck [7 Side
NOTES:
SUMP PUMP SYSTEM: ~SS I~ FAIL You have 30 days ro bring your system into compliance with current_,~,.~
regulations. When you are ready for reinspection, ca[[ 651 /644-1469 for an ' iert~"nt.
Is there another place where clear water enters the sanitary sewer system? Q Yes ~" No
Where is this location?
This area will need to be f d~ clear w~r d~sei~arges to the storm sewer system.
Inspector:
Resident:
Disclaimer: This visual inspection is done with due diligence to find obvious clear water cross-conneetions
and does not imply the structure meets all City Codes.
P~~ 7~
Date:~ ~~~g~ Time~~a~a.m./p.m.
First In~s ~e ion Second ~ ~,
Own: ~' Rent: Age of Home:,G~ ,
Residential: ~ ~
Non-Residential: ~
Date: - ~ -.~ ~
Date: - 3
White: Homeowner
Yellow: City
Pink: HRG
~