HomeMy WebLinkAboutSump Pump Inspection~
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City of Prior Lake
Sump Pump and I/I Reduction
Ins~ection Form
Name: ~ a ~r , lT~ ~.~.4 :~~ ~~~I v
Address: .~~~ l ~a ~ f ~ S _F
Prior Lake, MN 55 7,~ Phone: ~/~/ 7- ( 9~ 7
Date: ~/- ~~ -- y~t Time: 2 o a.m./p.m.
First Inspection L~
Own: l~'~ Rent: ~
Residential: l~''"
Non-Residential: ~
Second D
Age of Home: 7
W ( k ~,~'~"
A. BASEMENT ~es ~ No SUMP BASKET ~ 0 1~ 2 ~ 3 ~
WATER IN BASKET L7 Yes t~To SiJMP PUMP C'J~0 ~ 1 ~ 2 ~ 3 ~
WATER IN BASEMENT (flow over floor) ~ Yes i~''No CISTERN ~ Yes ~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
at Inspection:
~ Laundry tub t] Sanitary sewer ~ Outside
O Floor drain I~ Other
Prior to Inspection:
When was system installed, or most recently modified? (Date) and why
~ Home came with system ~ Response to inspection program t7 Other
~ Water in basement Q Previous system failed
. ~ ~ "T"~~ ~ ~
B. ROOF LEADERS: ~` C~es d No DISCHARGE: ~ Near ~ay
C. YARD DRAINS ~ Yes C~''~o WINDOW WELLS ~ Yes f~~No
BEAVER SYSTEM ~ Yes ['~No
D. PROPERTIES WITH SUMP PUMPS
When does pump run? a Fall ~ Summer ~ Spring ~ Winter
(check all that apply) How often does pump run?
V~here does pump discharge to outside? ~ Front d Back a Side
NOTES:
SUMP PUMP SYSTEM: C~" PASS 17 FAIL You have 30 days to bring your system into comp[iance with current
regulaEions. When you are ready for reinspection, call 651/644-1469 for an appoinrment.
Is there another place where clear water enters the sanitary sewer system? [a Yes L~'1~10
Where is this location?
This area will need to be fixed so the clear water discharges to the storm sewer system.
I Inspector: .~.<- ~'~--/~ Date: ~- ~ ~- 9~ - I
` Resident: /> %~ - Date: y- 30 - r~
Disclaimer: This visual inspection is done with due diligence to find obvious clear water cross-connections
and does not imnlv the structure meets all Citv Codes.
White: Homeowner Yellow: City Pink: HRG