HomeMy WebLinkAboutSump Pump Inspection
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City of Prior Lake
Sump Pump and I/I Reduction
Inspection Form ,~ ~~,-
Name: -~ -~ ~,~~ y~ Date• ~~ //-
-7-f-~'~~~-~~~,~1- ~ ,•G~ 9 ~ TimeCig-~~a.m./p.m.
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~ First Inspecjtion ~econd ~
Address: ~,~ ~~,~/ j~~Lf~~~_,~ , Own: ~' Rent: ~` Age of Home: ~2 ~
C-~'~~r
Residential: 17/'~
Prior Lake, MN 55 ~- ~ Phone:~~~~~~~~ Non-Residential: ~
A. BASEMENT s a No SUMP BASKET ~ 0 ~ 2 a 3 Q
WATER IN BAS T~ Yes L~~ SUMp pUMp ; Q ~ ~ 2 ~ 3
WATER IN BASEMENT (flow over floor) ~ Yes Q,]y~'~~CISTERN ~ Yes ~~ie~
(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 O Sanitary sewer L7~"utside
at Inspection: ~ Floor drain d Other
Prior to Inspection:
When was system installed, or most recently ified? (Date) -~~ and why
r~ Home came with system ponse o inspection program ~ Other
~ Water in basement Previ system failed
B. ROOF LEADERS: es ~ No DISCHARGE: ~ Near 1~1~wa ~
C. YARD DRAINS d Yes a~ WINDOW WELLS es 17 No
BEAVER SYSTEM ~ Yes 17~
D. PROPERTIES WITH SUMP PUMPS
When does pump run? ~ Fall er Q ring l7 Winter
(check all that apply) How often does pump run? ~ ~'',~~ ~~,~J ~~E',~,?T
V~here does pump discharge to outside? ~ Front L~,~1'c ~ Side
NOTES---•-•-•-•---•-•-•-•-•-•-•---•-•-•-•-•-•-•-•-----•-•-•-•-•-•-•---•-•---•---•---•-•---•---•-•-•-•-•-•-•---•- -•-•-•-•-•-•-
SUMP PUMP SYSTEM: ~ S ~ FAIL You have 30 days to bring your system into complianc~ with current
regulations. When you are ready for reinspection, ca[1651 /644-1469 for an appot ent.
Is there another place where clear water enters the sanitary sewer system? 17 Yes 17t,?~6
Where is this location?
This area will need to be f~d so t~he clear water dis arges to the storm sewer system.
Inspector: Date: ~ - / /- ~ ~
Resident: " Date: ~,~ _ ~~_~ 9
Disclaimer: This'visual inspection is done with due diligence to find obvious clear water cross-connections
and does not imply the structure meets all Cit.y Codes.
White: Homeowner Yellow: City Pink: HRG