HomeMy WebLinkAboutSump Pump Inspection)~o~
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City of Prior Lake
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Sump Pump and I/I Reduction
Insnection Form
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Name: ~i~~~f~~~ ~ ~~'U ~" Dat~%~-~' ~,~ Time;~~Z~m./p.m.
~ ~ , /~ /f'~,~ f~,.~ ~ ~~ First In~~_s~pe~c ion ~cond ~ ~/ ~ ~
Address. ~y ~ y~~ Own: ~-°Rent: ~ Age of Home:"7`
~~~ Residential: ~''~
Prior Lake, MN 55 ~~Z Phone'~y'Y~-~~~ Non-Residential: ~
A. BASEMENT O Yes ~_ ~ SUMP BASKET ~_~~6 1~ 2 ~ 3 D
WATER IN BASKET ~ Yes (J~No SiJMP P 'B'0 0 1 Q 2~ ~~,~'~
WATER IN BASEMENT (flow over floor) ~ Yes ~ CISTERN ~ Yes Q"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 ~ Laundry tub ~ Sanitary sewer ~~ Outside
at Inspection: ~ Floor drain ~ Other
Prior to Inspection: "''~~
When was systern installed, or most recently modified? (Date) and why
~ Home came with system ~l~` Response to inspection pragr~ ~` Q- Other
~ Water in basement ~` Prev' systern failed .
B. ROOF LEADERS ~~~AL~Yes ~ No DI5CHARGE: Q Near ay
~ ~ ~/'~~ .,.,.,,
C. YARD DRAINS I~ Yes ~~~_'N/o ~ WINDOW WELLS d Yes~-~6"'~'~
BEAVER SYSTEM ~ Yes ~'No
D. PROPERTIES WITH SUMP PUMPS
When does pump run? ~ Fall Q Summer O Spring ~ Winter
(check all that apply) How often does pump run? '`
V~here does pump discharge to outside? ~ Front 17 ,$~el~ ~ Side
NOTES: ~~A~ ~/~.~ ~i~i~ ,D ~ -•-•-•-•- - -•-•-•---•-•-•-•-•-•-•-•-•-•-•-•-•-•-•-•-•-•-•-
SUMP PUMP SYSTEM: tCL~AS5 ~ FAIL You have 30 days to bring your system into compliance with current
regulations. When you are ready for reinspection, ca[l 651 /644-1469 for an ap ' ent.
Is there another place where clear water enters the sanitary sewer system? ~ Yes o
Where is this location?
This area will need to ed e clear w~discharges to the storm sewer system.
I Inspector: ~-/~ • ~i ~"'~ Date: I
Resident: /j(~),~t~~-~~ - ( . ~C i,~~l~.t Date:
Disclauner: 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: Homeowner
Yellow: City
Pink: HRG