HomeMy WebLinkAboutSump Pump Inspection_ __
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City of Prior Lake
`~~' Sump Pump and I/I Reduction
Ins
Name: ~~.~.,~•~, ~i,` C~i~'~~/~-~
tion Form
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Dat~:--~~~ ~ ~ Tim~~~~a.m./p.m.
/ /~ ~~ ~,'',,~" ~~~ ~~ ~ ~-~,,. First Inspe on I~''Second ~ /~`
Address: ^~` r'~ Own: Rent: Q ge of Home: /
,(~ Residential: ~ ~,
Prior L~ke, MN 55 ~~'~ Phone: `~~ ~~2 Non-Residential: Q
,.,- ~_~...._-~ ,
A. BASEMENT es ~ No SUMP BASKE ~ 1 ~ 2 ~ 3 O
WATER IN BASKET ~ Yes o SUMP P 0~ 1 ~ 2~ ~~ ~
WATER IN BASEMENT (flow over floor) ~ Yes o CISTERN ~ Yes ~1Vo
(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 ~,,.. ~ Outside
at Inspection: Q Floor drain ~ Other
Prior to Inspection: ° ~
When was system installed, or most recently modified? (Date) and why
~ Home came with system O Response to inspection program d Other
17 Water in basement ~ Pre 'ous system failed
B. ROOF LEADERS: ~ Yes ~ N DISCHARGE: ~ Near CD~Away
C. YARD DRAINS Q Yes WINDOW WELi.S O Yes Q~'No
BEAVER SYSTEM ~ Yes No
D. PROPERTIES WITH SUMP PUMPS
When does pump run? ~ Fall ~ Summer I~ Sprin~ I~ Winter
(check all that apply) How often does pump run?
V~here does pump discharge to outside? ~ Front 17 Back O Side
-•---•---•-•-•-•-•---•-•-•---•-•-•-•---•-•-•---•-•-•-•-•-•-•-•-•---•---•-------•---•~=-•-•---•---•-•-•-•-•-•-•---•-•-•-•-•-•-•-•-•-
NOTES:
SUMP PUMP SYSTEM: I~PASS ~ FAIL You have 30 days to bring your system into compliance with current
regularions. When you are ready for reinspection, call 651 /644-7 469 fnr an intmenl.
Is there another lace where clear water enters the sanita sewer s stem? ~ Yes L~ N o
P rY Y
Where is this location?
This area will need to b e~,s~fie clear w,~r c~harges to the storm sewer system.
Inspector: ,. ~~, `"'~~`"~`"'''~`--~ Date: .~5 • ~ a - Y~'
Resident: _ Date: - 3G'- /
Disclaimer: This visual inspection is done with due diligence to find obvious clear water cross-connections
and does not imply the structnre meets all City Codes.
White: Homeowner Yellow: City Pink: HRG