HomeMy WebLinkAboutSump Pump Inspection~0
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City of Prior Lake
Sump Pump and I/I Reduction
ection Form
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Name: ~ ~ a~ ~, ; ~- -~, /~ ~.ti .~ J= ~~ ~ c~ Date: - 1 `/- ~ ~ Time: /f~v a.m./p.m.
First Inspection ~ econd ~
Address: ~/4 ~ S~~ ~--~ • S"F Own: L~'" Rent: ~ Age of Home:~/1
Residential: L~'"'-
Prior Lake, MN 55~ Phone: y~/a `S ~/~ Non-Residential: ~
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A. BASEMENT ~s ~ No SUMP BASKET ~ 0 ~~ 2 ~ 3 ~
WA1'ER IN BASKET ~ Yes L3~'IQo SUMP PiJMP L~''Cf O 1 Q 2 ~ 3 Q
WATER IN BA5EMENT (flow over floor} ~ Yes ~-Pi~ CISTERN O Yes Q-Id~'
(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 Q Laundry tub ~ Sanitary sewer a Outside
at Inspection: ~ Floor drain ~ Other
Prior to Inspection:
When was system installed, or most recently modified? (Date) and why
O Home came with system O Response to inspection program ~ Other
~ Water in basement Q Previous system failed
B. ROOF LEADERS: I~'"Yes ~ No DISCHARGE: L~Near a Away
C. YARD DRAINS ~ Yes A'1~o WINDOW WELLS ~ Yes C~'~
BEAVER SYSTEM ~ Yes t~o
D. PROPERTIES WITH SUMP PUMPS
When does pump run? O Fall ~ Summer O Spring ~ Winter
(check all that apply) How often does pump run?
V~here does pump discharge to outside? ~ Front ~ Back Q Side
NOTES: /~ {~~iv~/ I ,~D6i ~G ~~ v~ Z~usr ~-.,...--~' S~~-~ ~-~-+ D ~(? ~,s ~tr iL --~ S .~ ~ --•---•-•-•-•---
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SUMP PUMP SY TEM: ASS O FAIL You have 30 days to bring your system into compliance with current
regulations. When you are ready for reinspection, ca[[ 651/644-1469 for an appointmera.
Is there another place where clear water enters the sanitary sewer system? ~ Yes ~"i~To
Where is this location?
This area will need to be fixed so the clear water discharges to the storm sewer system.
Inspector: ' ~ Date; 2 `( ' q/~
Resident: , ,...~ ,~ : ,~'l`" Date: ~ - ~ ~ / ~ 9q
Disclaimer: This visual ins ction is done with due diligence to find obvious clear water cross-connections
and does not impl_y the structure meets all City Codes.
White: Homeowner ' Yellow: City Pink: HRG