HomeMy WebLinkAboutSump Pump InspectionCity of Prior Lake
Sump Pump and I/I Reduction
Insuection Form
Name: ~'~ ~'~'~~ ~ Date: T'~~" ~.J Time:~ l~~ .m./p.m.
' ~~
,(~/~~ / First Inspection ~ond ~
Address: `,~'`~ ~" ''~`~~ ~O~-/~ C..~ /iG~/Own: La.---~ent: ~ A e of Home: ~
g ~
~ /,,~ ~~, /Q ~ ~2~' Residential: ~---''"
Prior I~,,ake, MN 55 Phone: ~~ Non-Residential: ~
A. BASEMENT i9'Yes C~Pdo SUMP BASKET ~~~ 2 ~ 3 ~
WATER IN BASKET L~`~Yes ~ No SiTMP P~ L9'~ 0~ 1 ~ 2~ O~ 3--~O
WATER IN BASEMENT (flow over floor) ~ Yes L~~'No CI5TERN ~ Yes f9'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
at Inspection:
B.
C.
D.
NOTES:
Prior to I ection: ~
When as system installed, or most recently modified? (Date) and why
Home came with system ~ Response to inspection program O Other
~ Water in basement ~ Previous syste ailed
~ Laundry tub ~ Sanitary sewer ~.~ Outside
~ Floor drain ~ Other
ROOF LEADERS:
YARD DRAINS
BEAVER SYSTEM
17 Yes Q o DI5CHARGE: ~ Near Q Away
~ Yes Q~ ~N ''~~ WINDOW WELI,S Q Yes Q''No
~ Yes IZJ~'No
PROPERTIES WITH SUMP PUMPS
When does pump run? ~ Fall ~ Summer
(check all that apply) How often does pump run?
V~here does pump discharge to outside? ~ Front
~ Spring ~ Winter
,..----
~ Back ,,.-- ~ Side
SUMP PUMP SYSTEM: C~"'~ASS ~ FAIL You have 30 days to bring your system into compliance with current
regulatiorrs. 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? O Yes ~-
Where is this location?
This area will need to e i so e clear w r~Scharges to the storm sewer system.
Inspector:
Resident:
Date: '~'/' ~ ~
Date: ~
Disclaimer: This visual inspectioif"is done with due diligence to find obvious clear water cross-connections
and does not imuly the structure meets all City Codes.
White: Homeowner Yellow: City Pink: HRG