HomeMy WebLinkAboutSump Pump Inspection~~
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City of Prior Lake
Sump Pump and I/I Reduction
Inst~ection Form
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Name: / "f ~~~d~` ~~ d~~~ Date~ ~ ~ ~ ~ Time~r ~'Da.m./p.m.
,~/~~!~ ~ First In~sp~e.~ n ~Second ~ 1~y
Address: ~ 7~~8 i"~' ~~/,~~1 C,.,. /~ ~ Own: L~" Rent: ~ A e of Home: //
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~~y ,~,0~~ Residential: L~
Prior Lake, MN 55 ~~ i~' Phone: Non-Residential: ~
A. ` BASEMENT ~s ~ No~~~ SUMP BASKET O 0 1~ 2 ~ 3 ~
WATER IN BASKET ~ Yes C9'No SUMP P 0~ 1 O 2, ~~,.~ ~
WATER IN BA5EMENT (flow over floor) Q Yes ~ CISTERN O Yes I7'NO
(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 ~,..L~ Outside
at Inspection: ~ Floor drain Q Other
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Prior to Inspection:
Whe as system installed, or most recently modified? (Date) and why
17 Home came with s stem ~ Res onse to ins ection ro ram ~ Other
Y P P P g
Q Water in basement ~ Pre ' s system failed
B. ROOF LEADER5: I~ Yes I~ No DISCHARGE: ~ Near LTAwa
Y
C. YARD DRAINS ~ Yes ~ WINDOW WELi.S ~ Yes I~ No
BEAVER SYSTEM ~ Yes ~'~'~
D. PROPERTIES WITH SUMP PUMPS
When does pump run? ~ Fall D Summer ~ Springr ~ Winter
(check all that apply) How often does pump run?
Where does pump discharge to outside? ~ Front ~ Back C1 Side
NOTES:
SUMP PUMP SYSTEM: Q" YASS ~1 FAIL You have 30 days to bring your system into compliance with current
regulations. When you are ready for reinspection, cal[ 651 /644-1469 for an a o~ntment.
Is there another place where clear water enters the sanitary sewer system? ~ Yes I~~
Where is this location?
This area will need to ix~ the cle~r w~ discharges to the storm sewer system.
I Inspector: . /ac``- '"' Date: -~ '~ i- y 7' I
Resident: , ,r/~'7 Date: --3 /-
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