HomeMy WebLinkAboutSump Pump Inspection1
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Name: ~ ~~ r ~C , C..f ~~~" ~~ ~r ; ~~P
Address: / S` > > -1 . > (~~
Prior Lake, MN 55 ~ 7~ Phone: ~-/~/~ -~~/~ 7
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A. BASEMENT es ~ No SUMP BASKET Q 0 ~ 1 ~ 2 a 3 ~
WATER IN BASKET L7 Yes la'~To SUMP PUMP ~0 ~ 1 ~ 2 ~ 3 Q
WATER IN BASEMENT (flow over floor) ~ Yes ~o CI5TERN ~ Yes L~'F~To
(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 I~ 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 ~ Response to inspection program O Other
~ Water in basement Q Previous system failed
r-~~ a~
B. ROOF LEADER5: ~ Q~Yes ~ No DISCHARGE: ~ Near l3'~Away
C. YARD DRAINS ~ Yes D' No WINDOW WELLS ~ Yes L~'~1o
BEAVER 5YSTEM ~ Yes 13~'No
D. PROPERTIES WITH SUMP PUMPS
When does pump run? ~ Fall ~ 5ummer ~ Spring ~ Winter
(check all that apply) How often does pump run?
V~here does pump discharge to outside? ~ Front ~ Back ~ Side
NOTES:
City of Prior Lake
Sump Pump and I/I Reduction
Insnection Form
Date: G/- ;~ >y Time:~a.m./p.m.
First Inspection ~ Second ~
Own: ~'' Rent: ~ Age of Home:~~
Residential: ~''
Non-Residential: 17
SUMP PUMP SYSTEM: PASS ~ FAIL You have 30 days to bring your system into compliance with current
regulations. When you are ready for reinspection, calt 651 /644-1469 for an appointment.
Is there another place where clear water enters the sanitary sewer system? Ca Yes C~ No
Where is this location?
This area will need to be fixed so the clear water discharges to the storm sewer system.
, Inspector: Date: - a - 9
Resident: -'+ % Date: y- ~~~- y y
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Disclaimer: This visual inspection is done with due diligence to find obvious clear water cross-connections
and does not imulv the structure meets all City Codes.
White: Homeowner
Yellow: City
Pink: HRG