HomeMy WebLinkAboutSump Pump Inspection, ° ~v~F PRIp
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City of Prior Lake
Sump Pump and I/I Reduction
Inspection Form ,~~~, J~-
Name: C..~ ~~~~/ d~/~~ Date: ~-;~ Time:~,~/~~.m./p.m.
First Ins ec n econd ~
Address: ~~~~'S'~~~~ ~~7"'~ ~~ Own: p Rent: ~ Age of Home~~
,e Residential: ~/''~ J
Prior Lake, MN 55 i~~~/ Phone~~~ 7~~~ Non-Residential: ~
A. BASEMENT .l s~ No ~ 5iJMP BASKET ~ 1 ~ 2 ~ 3 ~
WATER IN BA5KET ~ Yes o SiJMP P ~ 1 ~ 2 Q' L7
WATER IN BASEMENT (flow over floor) CI Yes ~ CISTERN ~ Yes ~
(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 ~1 Sanitary sewer ~ Outside
at Inspection: 17 Floor drain ~ Other ~'
~ Prior to Inspection: ~
When was system installed, or most recently modified? {Date) and why
~ Home came with system Ca Response to inspection program ~ Other
O Water in basement L~ Pre ' s system failed
B. ROOF LEADERS: es a No DISCHARGE: ~ Near ay
C. YARD DRAINS ~ Yes ~~ ~ WINDOW WELLS s Q No
BEAVER SYSTEM ~ Yes ~7i1Vo
D. PROPERTIES WITH SUMP PUMPS
When does pump run? ~ Fall O Summer
(check all that apply) How often does pump run?
Where does pump discharge to outside? ~ Front
NOTES:
~ Spring ~JJ Winter
~ Back ~ Side
SUMP PUMP SYSTEM:
Is there another place where c
Where is this location?
This area will need to ixe~
Inspector:
Resident:, ~~~~~ ~,,
~PA$$ ^ FE~Ij. You have 30 days to bring your system into compliance with current
regulations. When you are ready jor reinspection, call 651/644-1469 for an ap ' ent.
;lear water enters the sanitary sewer system? ~ Yes ~
~the clear ate 'scharges to the storm sewer system.
~' Date: 1- ~, ~ ~
Date: ,~ ~ ~~
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