HomeMy WebLinkAboutSump Pump InspectionI
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City of Prior Lake
Sump Pump and I/I Reduction
Inst~ection Form
Name:~l 'v~-] ~ j`~~;C ~~r ~ ~' T~~'~°~-~C
Address: ~~~~~~ ~dY ~ah C ~Z'. ;~
Prior Lake, MN 55 37~z Phone: y~/~ ~,~~ 7~'
Date: - I- `I Time: U~ v 0 a.m./p.m.
First Inspection ~Second ~
Own: L~""12ent: ~ Age of Home: i~
Residential: I~''
Non-Residential: ~
G ~ ~ v~~v [ . /~
~ A. BASEMEI~- C-~F'i'`es C~ SiJMP BASKET ~ 0 ~ 1 a 2 ~ 3 ~
W.~TER IN BASKET es ~ No 5L1MP PUMP ~ 0 ~~ 2 ~ 3 O
.;, WA~ER IN BASEMENT (flow over floor) ~ Yes ~~o CISTERN O Yes C~1'IQo
(If no pump, place sticker across edge of sump cover and basement floor so any removal of cover will
br~e~lc ~s~°al. Skip to Part B of this form. )
Discharge Point ~ Laundry tub ~ Sanitary sewer C'~'Outside
at fnspection: ~ Floor drain I~ Other
Prior to Inspection:
When was system installed, or most recently modi~ed? (Date) and why
13' Home came with system ~ Response to inspection program ~ Other
Q Water in basement ~ Previous system failed
B.
C. _
D.
NOTES:
SUMP PUMP SYSTEM: ~ASS ~ FAIL You have 30 days to bring your system into comp[iance with cc~q;
regulations. When you are ready for reinspection, call 651 /644-1469 for an appo~flent.
Is there another place where clear water enters the sanitary sewer system? ~ Yes ~--P~
Where is this location?
This area will need to be fixed so the clear water discharges to the storm sewer system.
Inspector: ~ Date: 7~/- 9 9
Resident: Date: 7- /- 9`T
Disclaimer: This visual inspection is done with due diligence to find obvious clear water cross-connections
and does not imnlv the structure meets all City Codes.
ROOF LEADERS: ~ Yes 13~No DISCHARGE: ~ Near ~ Away
YARD DRAINS ~ Yes C3'No WINDOW WELLS ~ Yes L~14~o~ ~~`~
BEAVER SYSTEM ~ Yes l~-~Qo
PROPERTIES WITH SUMP PUMPS ~.~'~
When does pump run? ~ Fall C~''Summer ~~ring D Winter ,~-±~ f., ~~r ~:
(check all that apply) How often does pump run?,~~!/~~`- ~,~~'1,~,~,/ ~h~.' 1-~ (~~, y~~_ ~-o f;.~~Pi
V~here does pump discharge to outside? ~ Front Back i e p~,, ~~ ~, ~ r-
White: Homeowner Yellow: City Pink: HRG