HomeMy WebLinkAboutSump Pump Inspection~ ~~ ~
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City of Prior Lake
Sump Pump and I/I Reduction
Insnection Form
Name: (~.o '~/~! ,~,~f/.S.,C"=
Date:~° J' ~ ~ Timer'/~a.m./p.m.
~~~ ~~~~~ ~~ ~~ First Ins ec ~ lJ----S~ond ~
~ _P~..~
Address: ~ L•~ ~G Own: @'' Rent: ~ Age of Home:~~
, ,. / Residential: ~~-~'"~ ~
Prior Lake, MN 55 ~~~' Phone: ~~~ °~~~~ Non-Residential: ~
A. BASEMENT O Yes ~ / SiJMP BASKET E~-?'"0~ 1~ 2 ~ 3 ~
WATER IN BASKET ~ Yes ~IQo SiIMP P~~ ~'0 Q 1 ~ 2~ Q ~3 -~
WATER IN BASEMENT (flow over floor) ~ Yes L~#'No CISTERN ~ Yes L~~o
(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)
~ Home ca~ne with system ~ Response to inspection program
~ Water in basement ~ Previou system failed
B. ROOF L~A~.DERS:
C. YARD DRAINS
BEAVER SYSTEM
and why
~ Other
Y~ es o DISCHARGE: ~ Near ~-'l~way
es ~ No~,~-~' WINDOW WELLS ~ Yes ~
I~ Yes ~
D. PROPERTIES WITH SUMP PUMPS
When does pump run? ~ Fall ~ Summer
(check all that apply) How often does pump run?
V~here does pump discharge to outside? ~ Front
NOTES:
~ Spr~ ~ Winter
~ Back--~ ~ Side
..-•-•-•-•-•------------- - - -r~-•-•-•-•-•-•-•-
SUMP PUMP SYSTEM: I~ASS ~ FAIL Ypu have 30 days to bring your system into compliance with cunent
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? ~ Yes ~''No
Where is this location?
This area will need fi~ce~o the cl r y~r discharges to the storm sewer system.
Resident:
~
Date:
Date:
'1 ~. A/ ~ ~f '1
Disclaimer: This`visual inspection is done ~h due diligence to find obvious clear water cross-connections
and does not im 1 the structure meets all Cit Codes.
White: Homeowner Yellow: City Pink: HRG