HomeMy WebLinkAboutSump Pump InspectionCity of Prior Lake
Sump Pump and I/I Reduction
~~ I
Name: 0~~~~~ ~'~~A Date• ~~-~ Time:/~~~./p.m.
r .,/~ ~~ First Inspection ~'' Second ~
Address:~/~~ ~"~'L'~ v~'~ Own: ~''Rent: ~ Age of Home:~ ~
`/ Residential: ~---~° ~
Prior Lake, MN 55 ~~Z Phone ~` ~~`~~ 9~ Non-Residential: ~
~~vw~i~ .-•. . ,
A. BASEMENT ~~ No~/ SIJMP BASKET ~~~ 1 7 2 ~ 3 O
WATER IN BASKET ~ Yes Q'No SLJMP~ P~ P ~ 0 O 1 ~ 2 ~ 3 ~
WATER IN BASEMENT (flow over floor) ~ Yes Q No CISTERN ~ Yes A'l~~o
(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.)
Insnection Form
Discharge Point ~ Laundry tub ~ Sanitary sewer t7 Outside
at Inspection: ~ Floor drain ~ Other '~
B.
C.
D.
Prior to Inspection:
When was system installed, or most recently modified? (Date)
~ Home came with system
Q Water in basement
and why
~ Response to inspection program ~ Other
~ Previo system failed
L~~No DISCHARGE: ~ Near ~
NOTES:
ROOF LEADER5:
YARD DRAINS
BEAVER SYSTEM
~ Yes Q o, WINDOW WELLS O Yes ~~
~
PROPERTIES WITH SUMP PUMPS
When does pump run? ~ Fall ~ Summer D Sprin,g__ ~ Winter
(check all that apply) How often does pump run?
V~here does pump discharge to outside? ~ Front D Back ,,,,,.._ O Side
SUMP PUMP SYSTEM: ~''~ASS ~ FAIL You have 30 days to 6ring your system into compliance with current
regu[ations. When you are ready for reinspection, call 651/644-1469 for an appointment.
Is there another place where clear water enters the sanitary sewer system? ~ Yes L`a'"No
Where is this location?
This area will need to be d e clear wat ,dis arges to the storm sewer system.
Inspector: '~-i '
Resident: -., b ,~.,., R. ~
Date: '7` ' ~'3 '
Date: ~
Disclaimer: This visual inspection is done with due diligence to find obvious clear water cross-connections
and does not imnlv the structure meets all Citv Codes.
White: Hocneowner Yellow: City Pink: HRG