HomeMy WebLinkAboutSump Pump Inspection~~ Q
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Insnection Form
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~~ Nam • ~~/~.~i(,~ I~~',~ ~~~ Date~7"~ ~ ~ Time! ~a.m./ .m.
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I / ~ ~ ~ First In,s ~ec n~nd Q
Address:~'`~~Q ~~j~ ~~`~~ Own: lT Rent: ~ Age of Home:~
,~/ Residential: ~" ~
Prior Lake, MN 55 ~~.~ Phone- :7~7 ~.30~ Non-Residential: ~
A. ASEMENT es L7 SiJMP BASKET ~ 0 ~ 2 ~ 3 ~
~~~ ~ ~ /~'
WATER IN BASKET es ~ No SiJMP ~PU~M,.P-~- 0~ 1 ~ 2~~C~7 3~-~
WATER IN BASEMENT (flow over floor) ~ Yes ~o CISTERN ~ Yes +~'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: D Floor drain ~ Other ~---'"
Prior to Inspection: `'~
Whe as system installed, or most recently modified? (Date) and why
Home came with system ~ Response to inspection program ~ Other
~ Water in basement O Previous system failed
B. ROOF LEADERSc ~ Yes C~YN DISCHARGE: ~ Near ~ Away
G YARD DRAINS ~ Yes ~ No WINDOW WELLS ~ Yes B''No
BEAVER SYSTEM ~ Yes ~
D. PROPERTIES WITH SUMP PUMPS
When does pump run? C] Fall ~ Summer
(check all that apply) How often does pump run?
V~here does pump discharge to outside? ~ Front
NOTES:
O Spring L7 Winter
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~ Back ~ Side
..-----•----~ =•-•-•---•---------•-•-•-•-•---•---
SUMP PUMP SYSTEM: t7`''~ASS Q FAIL You have 30 days to bring your system into compliance with current
regulations. When you are ready for reinspection, call 651l644-1469 for art ap in3ment.
Is there another place where clear water enters the sanitary sewer system? Q Yes L9~No
Where is this location?
This area will need to b i~ the clear ater~charges to the storm sewer system.
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Inspector:
Resident:
Date: ">'-//-
Date: ~
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.
City of Prior Lake
Sump Pump and I/I Reduction
White: Homeowner Yellow: City Pink: HRG