HomeMy WebLinkAboutSump Pump InspectionCity of Prior Lake
Sump Pump and I/I Reduction
Insuection Form
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Name: ~~/~~~ ~4N ~~~+~'~ ~ Date~ y~ ~,~ Time~~~~ a.m./p.m.
/~ , / ~/ /~~ ~X f~ ~~ First Inspe 'on ~econd ~
Address: ~y~ ~ Own: Rent: Age of Home:~~ S
~ Residential: ~
Prior Lake, MN 55~ ~~ Phone: ~~Q' ~'~~ Non-Residential: ~
A. ~ BASEMENT f4.~s ~ No~ SUMP BASKET ~~1Y'a 1~ 2 a 3 ~
WATER IN BASKET I~ Yes o SUMP P~"~ f~0 Q 1 Q 2~ ~~,3''~
WATER IN BASEMENT (flow over floor) ~ Yes t31~~Qo CISTERN C] Yes A'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 ~ Laundry tub ~ Sanitary sewe~ ~ Outside
at Inspection: ~ Floor drain ~ Other
r~
Prior to Inspection:
When was system installed, or most recently modified? (Date)
~ Home came with system ~ Response to inspection program
~ Water in basement ~ Previo system failed
B. ROOF LEADERS: es ~ No DISCHARGE:
~
and why
O Other
~ Near Away
C. YARD DRAINS ~ Yes ,- ~' WINDOW WELLS
BEAVER SYSTEM ~ Yes L~'NO '
D. PROPERTIES WITH SUMP PUMP5
When does pump run? O Fall ~ Summer
(check all that apply) How often does pump run?
V1Fhere does pump discharge to outside? I] Front
NOTES:
O Spring
~ Yes L9-~T"o
L7 Winter
C] Bac7~.~- O Side
SUMP PUMP SYSTEM: ~ASS C~ FAIL You have 30 days to bring your system into comp[iance with current
regulauons. When you are ready for reinspecdon, ca[1651/644-1469 for an appo' nt.
Is there another place where clear water enters the sanitary sewer system? Q Yes o
Where is this location?
This area will need to e the clear ater`discharges to the storm sewer system.
Inspector:
Resident: _
Date: ~
Date: '~- Z ` ,
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