HomeMy WebLinkAboutSump Pump Inspection Program
City of Prior Lake
Sump Pump and III Reduction
Inspection Form
Name: SVI",J,.,/', {L,-;,vJrf'
Date: !:- j. '7'1 Time: J200 a.m.lp.m.
Phone: I.jl/7. J 6? ]
First Inspection 13"
Own: 13"" Rent: 0
Residential: e--
Non-Residential: 0
Second 0
Age of Home: r; I
Address: } J 7 1/ \,tJ t J f A V". j E
Prior Lake, MN 55 J 7 J
V"~ (~P _/'
BASEMENT I3"Y es ~ SUMP BASKET Er 0 0 1 0 2 0 3 0
WATER IN BASKET 0 Yes 0 No SUMP PUMP I?"O 0 1 0 2 0 3 0
WATER IN BASEMENT (flow over floor) 0 Yes l3'1iro CISTERN 0 Yes CJ..No
A.
(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:
o Laundry tub
o Floor drain
o Sanitary sewer
o Other
o Outside
Prior to Inspection:
When was system installed, or most recently modified? (Date)
and why
o Home came with system
o Water in basement
PROPERTIES WITH SUMP PUMPS
When does pump run? 0 Fall 0 Summer 0 Spring
(check all that apply) How often does pump run?
Where does pump discharge to outside? 0 Front 0 Back
B.
C.
ROOF LEADERS:
YARD DRAINS
BEAVER SYSTEM
D.
o Response to inspection program
o Previous system failed
o Other
o Yes ~
o Yes ~o
DYes o---No
DISCHARGE: 0 Near 0 Away
WINDOW WELLS 0 Yes ld-"No
o Winter
NOTES:
-------.-.---.-------.-.-.---.-----------.---.-.---.-.---.---.-.-.-.-.-.-.-.-.---.-.---.-.-.-----.-.-.-----.-.---.-------.-.---.-.-
o Side
~S 0 FAIL You have 30 days to bring your system into compliance with current
regulations. 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? 0 Yes ~o
Where is this location?
This area will need to be fixed so the clear water discharges to the storm sewer system.
Ins~ector: c;,:C~fvi fHj~ Date: r;----I- i C;
ReSIdent: 'hat hi! I" Date: r;- - 1- 'If
I . - ,
;1
Disclaimer: This visual inspection is done with due diligence to rmd obvious clear water cross-connections
and does not imply the structure meets all City Codes.
SUMP PUMP SYSTEM:
White: Homeowner
Yellow: City
Pink: HRG