HomeMy WebLinkAboutSump Pump Inspection. ~ ~~h ~~
Insnection Form
Name: ~'~•~V ~ -C.~ ,C'~~ ~.~~ ~ ~
Address: f ~~~~ ~~ ~~
Prior Lake, MN 55 ~ ~~
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Date: "ff' ~~ Time:~~~a.m./p.m.
~ First Inspe ° n Q'' Second ~
~ ~ / ~~ ~ ~ Own: Rent: Age of Home: ~~ ,
~,Residential: ~ ~
`/ ~
:'Y iY J~~'i~.5 Non-Residential: D
~,~.~.. ~,~.~ - _ .
A. BASEMENT es ~ No~ SUMP BASKE ~ 1 ~ 2 ~ 3
WATER IN BASKET ~ Yes o SUMP P 0~ 1 ~ 2 ~ Q
WATER IN BASEMENT (flow over floor) ~ Yes o CISTERN ~ Yes o
(If no pump, place sticker across edge of sump cover and basement floor so any rernoval of cover will
break seal. Skip to Part B of this form.)
Discharge Point ~ ~ ~] ~- I:~und~ "t~b, ~ ~~ ~ ~ O Sanitary~ sewe~ O Outside ~ ~
at Inspection: ~' Floor~ drain " L7 Other
Prior to Inspection:
When was system installed, or most recently modi~ed? (Date) ''' and why
~ Home came with system ~ Response to inspection program ~ Other -
O Water in basement ~ Previous syst ailed
B. ROOF LEADER5: ~ Yes o DISCHARGE: ~ Near ~ Away
C. YARD DRAINS es 17 ~N9''~ WINDOW WELi.S O Yes C7-~
BEAVER SYSTEM L'] Yes ~~NO
D. PROPERTIES WITH SUMP PUMPS
When does pump run? ~ Fall a Summer ~ Spring~„_~ Winter
(check all that apply) How often does pump run?
V~here does pump discharge to outside? ~ Front ~ Back ~ Side
NOTES:
SUMP PUMP SYSTEM: ~PASS I~ FAIL You have 30 days to bring your system into compliance with current
regulations. When you are ready for reinspectian, call 657 /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 be f" ed sq~e clear w~er'd}se~harges to the storm sewer system.
Inspector: ~,~~,-~ ,~~
Resident:
Date:
Date;
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Disclaimer: This viS~ial inspection is done vvith due diligence to find obvious clear water cross-connections
and does not imnly the structure meets all City Codes.
~.. . d
City of Prior Lake
Sump Pump and I/I Reduction
White: Homeowner Yellow: City Pink: HRG