HomeMy WebLinkAboutSump Pump Inspection0
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City of Prior Lake
Sump Pump and I/I Reduction
Inspection Form A ~~-~,
Name: ~ ~t -` ~ s ~~ ~- , ~~ r ~f ,~r .~ ~':~ ; e
Address: ~ OD,~. 1 ~"U ~~ „>~.~
Prior Lake, MN 55~~ Phone: %~/ 7-~7/Q
Date: ~-1 ~~ - 9 `~ Time: /5 /~`'"' a.mJp.m.
First Inspection C~'
Own: ~'" Rent: ~
Residential: l~'
Non-Residential: ~
Second Q
Age of Home: IZ~
~„~~ ~ 4 .,~-~
A. BASEMENT 0''Yes ~ No SiJMP BASKET O 0 ~~ 2 ~ 3 ~
WATER IN BASKET ~ Yes L~'1~1o SUMP PUMP ~'`0 ~ 1 ~ 2 Q 3 ~
WATER IN BASEMENT (flow over floor) ~ Yes C-~-hT'o CISTERN ~ Yes [3~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 ~ Sanitary sewer a Outside
at Inspection: ~ Floor drain ~ Other
Prior ta, Inspection:
When was system installed, or most recently modified? (Date) and why
~ Home came with system ~ Response to inspection program ~ Other
Q Water in basement ~ Previous system fail ed
B. ROOF LEADERS: ~T, G ~
~~"'~Yes ~ No
DI5CHARGE: ~ Near
I~Away
C. YARD DRAINS 7 Yes ~-'IVo WINDOW WELLS ~ Yes ~ No
BEAVER 5YSTEM ~ Yes ~'No
D. PROPERTIES WITH SUMP PUMPS
When does pump run? ~ Fall ~ Summer Q Spring a Winter
(check all that apply) How often does pump run?
Where does pump discharge to outside? ~ Front d Back O Side
NOTES: . _ ~,ri,~ !~<.: ~~-~•-•-~~~•---•~-•-•~~,~l~r. V~r-f- 4~~oc------~'_-r'~~ i~o-F~---•-•-•-•-
, ~~....'f"- X"1 v s` ~., r..p (1a.M, ~
5UMP PUMP SYSTEM: ~ YASS ~ FAIL You have 30 days to bring your system into compliance with current
regulations. When you are ready,t'or reinspection, ca[[ 651/644-1469}'or an appointment.
Is there another place where clear water enters the sanitary sewer system? ~ Yes ~iQo
Where is this location?
This area will need to be fixed so the clear water discharges to the storm sewer system.
Inspector: ~t~ -~ ~=-~ Date: - 2 ~ ~ ~/ 9
Resident: - ~ L~c-- Date: ~- 7~ 9 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 City Codes.
White: Homeowner Yellow: City Pink: HRG