HomeMy WebLinkAboutSump Pump Inspection~~
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City of Prior Lake
Sump Pump and I/I Reduction
ction Form
Name: ~c G~ ~' /P / ~ ,TN -~ ~ ~ ~ ~ / ~c
Address: ~~OD ,~ ~/r,~a., ~`/~ ~~~
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Frior Lake, MN 55.~ 7~ Phone: y 7- 7? ~/
Date: r`'i- /• `~ 9 Time: 3o a.m./p.m.
First Inspection L~'~ Second 7
Own: I~- Rent: ~ Age of Home: /~,
Residential: [~-
Non-Residential: ~
~ ~~~ ~/
A. BASEMENT es ~ No SUMP BASKET C-~ 0~ 1 ~ 2 ~ 3 ~
WATER IN BA5KET ~ Yes Q No SIJMP PUMP ~~ 1 ~ 2 ~ 3 ~
WATER IN BASEMENT (flow over floor) ~ Yes A'1~1o CI5TERN ~ Yes ~~i~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 ~ Sanitary sewer a Outside
~ Floor drain ~ Other
Prior to Inspection:
When was system installed, or most recently modified? (Date)
D Home came with system ~ Response to inspection program
Q Water in basement ~ Previous system failed
~ Other
and why
B. ROOF LEADERS: 17 Yes ~"'No DI5CHARGE: ~ Near a Away
C. YARD DRAINS Q Yes C~T No WINDOW WELLS ~ Yes L-~~
BEAVER 5YSTEM ~ Yes ~''No
D. PROPERTIES WITH SUMP PUMPS
When does pump run? 17 Fall ~ Summer ~ Spring D Winter
(check all that apply) How often does pump run?
V~here does pump discharge to outside? ~ Front Q Back ~ Side
NOTES:
SUMP PUMP SYSTEM: ASS ~ FAIL You have 30 days to bring your system into comp[iance with current
regulations. LVhen you are ready for reinspection, call 651 /644-1469 for an pointment.
Is there another place where clear water enters the sanitary sewer system? ~ Yes ~No
Where is this location?
This area will need to be fixed so the clear water discharges to the storm sewer system.
Inspector:
Resident:
Date: ~~ /~ 9
Date: '7- /- 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