HomeMy WebLinkAboutSump Pump Inspection,,
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City of Prior Lake
Sump Pump and I/I Reduction
ction Form
Name: ~~~~,.,~ ~ j, y~ ~, ~'pf -~ ~ Date: ~ J 1- 9y Time: /~ U a.m./p.m
First Inspection ~ Second ~
Address: ;~d d~'~~,~r ~~-~ Je .>~ Own: C-~ Rent: ~ Age of Home:~
Residential: C~'''
Prior Lake, MN 55~ 7~2 Phone: ~/~/7- ~/v5 S~ ~ Non-Residential: ~
v/a~ /l ~,~ t ~/
A. BASEMENT ~s t7 No SiJMP BASKET f3 0 a 1 ~ 2 ~ 3 ~
WATER IN BASKET 17 Yes ~ No SUMP PUMP ~ I~ 1~ 2 D 3 O
WATER IN BASEMENT (flow over floor) ~ Yes I~'o CISTERN ~ Yes LL~'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 system installed, or most recently modified? (Date) and why
~ Home came with system Q Response to inspection program ~ Other
17 Water in basement ~ Previous system failed
B. ROOF LEADERS: ~ Yes ~o DI5CHARGE: ~ Near ~ Away
C. YARD DRAINS ~ Yes CYNo WINDOW WELLS ~ Yes $'~o
BEAVER SYSTEM ~ Yes C~~Vo
D. PROPERTIES WITH SUMP PUMPS
When does pump run? O Fall ~ Summer ~ Spring ~ Winter
(check all that apply) How often does pump run?
Where does pump discharge to outside? ~ Front ~ Back O Side
NOTES: /~ ~ o~ .Dti~--~ ~~I-c ~ i s 7~ -•-•-•-•-•-•-•-•-•-----------•-•-•-•-•---•-----------•-•-•-•-•-•-•-•-•-•-•-
SUMP PUMP SYSTEM: C~'ASS L~ 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 appointment.
Is there another place where clear water enters the sanitary sewer system? ~ Yes C~1''No
Where is this location?
This area will need to be fixed so the clear water discharges to the storm sewer system.
Inspector: ~ Date: „5 - 2/- 9 9
Resident: ~ Date: 5~~ 1/~ 9y
Disclaimer: This visual inspection is done with due diligence to find obvious clear water cross-connections
and does not imply the structure meets all City Codes.
White: Homeowner Yellow: City Pink: HRG