HomeMy WebLinkAboutSump Pump Inspection4F PRIO~
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Name: 1~'t'~i~ ~
City of Prior Lake
Sump Pump and I/I Reduction
Insuection Form
C~GCC~,,~,~
Address y~0~ ~~~ ~d7 ~~=~
Prior Lake, MN 55„3~~ Phone~~a'~~~ ~
Dat~, Tim ~a.m./p.m.
~-~-9 ~ ~~~
First In~sp~e °on ~cond ~
Own: L9'" Rent: ~ Age of Home:'~~ ,
Residential: L~''~~ ~
Non-Residential: ~
A. BASEMENT [1L~s ~ No~ / SUMP BASKET I~~~~tf 1~ 2 ~ 3 ~
WATER IN BASKET ~ Yes L~Y1Qo SiJMP~ ~P~~ I~0 ~ 1 ~ 2 ~ 3_~
WATER IN BASEMENT (flow over floor) ~ Yes QT1o 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 L~ Laundry tub ~ Sanitary sewer ~ Outside
at Inspection: ~ Floor drain ~ Other ''~"
Prior to Inspection: ~--'"`
When was systern installed, or most recently modified? (Date) and why'
17 Home came with system ~ Response to inspection program ~ Other
l7 Water in basement ~ Previous system failed
B. ROOF LEADERS: ` CaY'Yes ~ No DISCHARGE: O Near C9^'"Away
.~'~y~ ~ ~~J ~ ,
C. YARD DRAINS (.~` ~ L~ lZ3~t'es ~~~~~ N/o WINDOW WELLS ~'s ~] No
BEAVER SY5TEp¢ ~'I ~ a ~ Yes ~O
r5`~ ''(J j~ ~yU y H
D. PROPERTIES WITH SUMP PU~IPS
When does pump run? ~ Fall ~ Summer ~~ing ~ Winter
(check all that apply) How often does pump run?
Where does pump discharge to outside? ~ Front ~ Back O Side
NOTE5: '
SUMP PUMP SYSTEM: ~PASS ~ FAIL You have 30 days to bring your system into compliance with current
regulations. When you are ready for reinspection, call 651 /644-1469 for an appointment.
Is there another place where clear water enters the sanitary sewer system? Q Yes ~
Where is this location?
This area will need o b fi so the cle wp~er discharges to the storm sewer system.
Resident:
Date: ~ - .3U-
Date: U `
Disclaimer: This visual inspection is done with due diligence to find obvious clear water cross-connections
and does not imulv the structure meets all Citv Codes.
White: Homeowner Yellow: City Pink: HRG