HomeMy WebLinkAboutSump Pump Inspectionti~~~
~~
~~~
~
~~~
r' ~
City of Prior Lake
Sump Pump and I/I Reduction
ection Form
Name: ~h r ~ l l~=~,~~~ V t ~ ~ ~~~ a
Address: ~~ ~4 / ,', ~ ~ ~• ~ ~
Prior Lake, MN 55 7~.Z Phone: ~/~/~ -,? ? 9~
Date: r- l~-~ 59 Time: /~ : D a.m./p.m.
First Inspection ~Second ~
Own: C-~' Rent: ~ Age of Home:_~
Residential: ~-
Non-Residential: ~
v/G I Gc U w t` ~~%
A. BASEMENT C-I'I'es ~ No SUMP BASKET a 0 CT 1 D 2 ~ 3 Q
WATER IN BASKET A'~es ~ No SUMP PUMP ~ 0 l3`1 ~ 2 ~ 3 Q
WATER IN BASEMENT (flow over floor) ~ Yes ~'1Qo CI5TERN ~ Yes 1~'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 ~orm.)
Discharge Point ~ Laundry tub D Sanitary sewer ~utside
at Inspection: ~ Floor drain ~ Other
Prior to Inspection:
When was system installed, or most recently modified? (Date) and why
C~ Home came with system ~ Response to inspection program ~ Other
~ Water in basement ~ Previous system failed
p~r~~H ~_,.-~-
B. ROOF LEADERS: 1 es C~o DISCHARGE: ~ Near DrAway
C. YARD DRAINS ~ Yes L'J'No WINDOW WELLS ~ Yes L~~o
BEAVER SYSTEM a Yes I~No
D. PROPERTIES WITH SUMP PUMPS
When does pump run? ~ Fall ~ummer L~'Srpring ~ Winter
(check all that apply) How often does pump run? ~~, ~;-~~ ,/f r ~ ~ X ~~ ;1s
V~here does pump discharge to outside? a Front Q Back ~-~iZC"e
NOTES:
SUMP PUMP SYSTEM: PASS D FAIL You have 30 days to bring your system into compliance with current
regulations. When you are ready for reinspection, call 657 /644-1469 for an appointment.
Is there another place where clear water enters the sanitary sewer system? ~ Yes l~o
Where is this location?
This area will need to be fixed so the clear water discharges to the storm sewer system.
Inspector: ~ - ~ n° Date: ~ ` ~-~ ~ 9 ~
Resident: Date: S-~ 3- 9y
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