HomeMy WebLinkAboutSump Pump Inspection,~~~ PRI~~~, City of Prior Lake
~ ~ Sump Pump and I/I Reduction
~-
INNES°`` Inspection Form
Name: ~~'~ ~(~., Date: ~'' • (~ ( Time: ~~ ~lpm
Inspection: ~,First ^ Second
Address: ~~~'' ~~'~~. ~ Own ^ Rent Age of Home:
Prior Lake, MN 55372 Phone: '~j~ ~ Resideritial ~ Non-Residential
A. BASEMENT Yes O No SUMP BASKET ^ 0 1 p 2 p 3 ^
WATER IN BASKET Yes ^ No SUMP PUMP ^ 0 ~ 1 ^ 2 ^ 3 ^
WATER IN BASEMENT ^ Yes ~i No CISTERN ^ Yes .~ No
(If no pump, place sticker across edge of sump cover and basement floor sp uny removal of cover will break seal. Skip to Part B.)
Discharge Point p Laundry tub p Sanitaty sewer '~Outside
at Inspection: ^ Floor drain p Other ±
' Prior to Inspection:
~ When was system installed, or most recently modified? (Date) and why?
^ Home came with system ^ Response to inspection program ^ Other
^ Water in basement p Previous system failed '
. B. ROOF LEADERS ~Yes ^ No DISCHARGE ^ Near ~Away
~~C. YARD DRAINS ^ Yes o t WINDOW WELLS ^ Yes ~No
: BEAVERSYSTEM p Yes ~~No
D. PROPERTIES WITH SUMP PUMPS ~
When does pump run? O Fall p Summer O Spring O Winter
(check a11 that apply) How often does pump run?
Where does pump discharge to outside? ~Front ^ Back ^ Side
~NOTES: ~vG ~j ~1(~~.~._._._._._._._._..._._._._._._._..._._._._._. _ _._._....._._._._._._._._._._._._..._._._._._._._._._....._..._..._._._._._. . _._
= SUMP PUMP SYSTEM: f~ PASS ~ FAIL Yox hare 3fl days m hringyour syslen~ imo cou~pli~mce wi~h curren~ -
regu/alion.c. When yor< <rre ren~lY.Irr re-inspec~ion, en/! 9521447-9833,/i~r un uppninmieu~.
Is there another place where clear water enters the sanitary sewer system? ~ Yes ~ No ~
Where is this location?
This area will need to be fixed so the clear water discharges to the storm sewer system.
Inspector: ~Date: ~ ~ ~
Resident: Date:
Disclaimer: This visual inspection is done with due ditigence to find obvious clear water cross-connections
and does not imply the structure meets alf City Codes.