HomeMy WebLinkAboutSump Pump InspectionCity of Prior Lake
Sump Pump and I/I Reduction
Ins~ection Form
- ,,~
_ ~
Name: ~~ ~'~~`~'' ; ~ ~ ~"~ Date: ~ ~~ Time~~~.m./p.m.
~~ ~_ ~~~ /~~ First Inspec~f n ~econd Q ~
Address:~~ ~'G " ~~~' ~ Own: ~'~R,e-nt/: ~ Age of Home: ~
? Residential: 8" ~
Prior I~ake, MN S5~ Phone~y~ ~J~U Non-Residential: ~
A. BASEMENT I~i'es ~ No~~ SiJMP BASKE C9'~,,9''~ 1 O 2 ~ 3 ~
WATER IN BASKET ~ Yes o SLJMP P ~ 0 ~ 1 ~ 2 ~ 3 O
WATER IN BASEMENT (flow over floor) Q Yes No CI5TERN ~ 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
at Inspection:
B.
C.
D.
NOTES:
SUMP PUMP SYSTEM: L'~7~ASS Q FAIL You have 30 days to bring your system into comp[iance with current
regutations. When you are ready for reinspection, ca[[ 651/644-1469 for an a ent.
Is there another place where clear water enters the sanitary sewer system? Q Yes ~
Where is this location?
This area will need to i so the clear wat disc]~arges to the storm sewer system.
Inspecto~~
Resident:
Date: 7 ` U `
Date: ~ -
Disclaimer: This visual inspection is done with due diligence to find obvious clear water cross-connections
and does not imulv the structure meets all Citv Codes.
~ Laundry tub ~ Sanitary sewer 17 Outside
~ Floor drain ~ Other ""`
Prior to Inspection: ~.---
When was system installed, or most recently modified? (Date) and why
~ Home came with system
~ Water in basement
ROOF LEADERS:
YARD DRAINS
BEAVER SYSTEM
I~ Response to inspection program Q Other
~ Previous system failed
~ Yes ~1Vo DISCHARGE: O Near ~ Away
~ Yes tT N~~ WINDOW WELLS ~ Yes ~#-'No
~
PROPERTIES WITH SUMP PUMPS
When does pump run? ~ Fall ~ Summer ~ S~ring I~ Winter
(check all that apply) How often does pump run?
V~here does pump discharge to outside? ~ Front O,,-Back ~' Side
White: Homeowner Yellow: City Pink: HRG