HomeMy WebLinkAboutSump Pump Inspection~F PRIp~
~~ ~ City of Prior Lake
Sump Pump and I/I Reduction
Insnection Form
~ / ~
Name: Ii~~~I~~- o~ X-~~ ~'L ~"'~ ate: ~~ ~ Time/~L~~.m./p.m.
~~ ~
-- 2 n First In~sp_e,c,.t~' °n C{L--~'ond ~
Address: ~~ ~J ~~GF~a~./ h'v Own: L~'~ Rent: ~7 Age of Home~~ ,
n Residential: L'~!-''"~ ~
Priar ~.ake, MN 55 ~~~hone ~~~ /'.S 9~ ~--- Non-Residential: Q
~'~t..~' [r v L rt/ t.._ •
A. BASEMENT es ~ No / SiJMP BASKET ~ 0 ~ 2 ~ 3 ~
WATER IN BASKET d Yes t9~IQo SIJMP P 0 C~ 1~ 2 ~ 3
WATER IN BASEMENT (flow over floor) ~ Yes L~~'~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 ~ Laundry tub ~ Sanitary sewer ~-,..~ Outside
at Inspection: Q Floor drain Q Other
/"
B.
C.
D.
NOTES:
~ Spring~ ~ Winter
~ Back .--~ ~ Side
SUMP PUMP SYSTEM: L~ASS ~ FAIL You have 30 days to bring your system into comp[iance with current
regulations. When you are ready for reinspection, cal! 651/644-1469,r'or an appoi t.
Is there another place where clear water enters the sanitary sewer system? ~ Yes o
Where is this location? ;
This area will need to fi the clear , ater d~charges to the storm sewer system.
.
Inspector: • ~'~- ""~ ~...,._. Date: "/ ` i ` 7 ~
Resident: ; ~ ,,~ ~ 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. __
Prior to Inspection:
When w ystem installed, or most recently modified? (Date)
~ame with s stem ~ Res onse; to ins ection ro ram ~ Other
Y P, P P g
D Water in basement ~ Prev' s system failed
and why
~/ ~ /'~~
ROOF LEADER : ''( ~'~ es ~ No . DISCHARGE: ~ Near L9''Away
~'a~ ~,/~ ~~'
YARD DRAINS ~ Yes I~,'~N,!''~~ WINDOW WELi.S ~ Yes t''1''No
BEAVER SYSTEM ~ Yes L~''No
PROPERTIES WITH 5UMP PUMPS
When does pump run? ~ Fall Q Summer
(check all that apply) How often does pump run?
V~here does pump discharge to outside? ~ Front
White: Homeowner Yellow: City, Pink: HRG