HomeMy WebLinkAboutSump Pump Inspectionr~ ~ ~~
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City of Prior Lake
Sump Pump and I/I Reduction
Insnection Form .~., ~
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Name: ( l '7'`f'~nr1 ~A , ~ ~i-~~_ Date: ~` Timey~~~.m./p.m.
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First Inspection O Second t7
Address:~~~~~ ,~,r- ~-,,.-~ ~ i,~-~- r/~' Own: ~ Rent: ~ Age of Home:
Residential: L~
Prior Lake, MN 55 ;~~~~ Phone: ~/ Non-Residential: I~
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A. ~ ~~I'Qo G~~ SUMP BASKET Q ~~0 1~ 2 Q 3 Q
WATER IN BAS T~ Yes O~ SUMP PUMP ~~' ' ~ 1 a 2 ~ 3 O
W A T E R I N B A S E ME N T ( flow over floor) Q Yes ~ ~ C I 5 T E R N ~ Yes ~~ l s~
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(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 ~ Response to inspection program d Other
~ Water in basement ~ Previous system failed
B.
C.
D.
ROOF LEADERS: a Yes 17G~ DI5CHARGEc ~ Near ~ Away
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YARD DRAINS ~ Yes WINDOW WELLS O Yes ~~te-~
BEAVER SYSTEM I~ Yes
PROPERTIES WITH SUMP PUMPS
When does pump run? ~ Fall O Summer ~ Spring Q Winter
(check all that apply) How often does pump run? ,,....-
V~here does pump discharge to outside? Q Front O Back ~ Side
NOTES: /. /~ ..-~--~ -•- ~ •-•-• ~---•-', ,. ~ _. ----•-f -•-•-•-•-•-•-•- -----
SUMP PUMP SYSTEM: C~SS O FAIL You have 30 days to bring your system into compliance with current
regulations. When you are ready for reinspection, call 651/644-1468,for an appo' nt.
Is there another place where clear water enters the sanitary sewer system? ~ Yes
Where is this location?
This area will need to be f ed so the clear water discharges to the storm sewer system.
Inspector: Date:
Resident: ~ Date:
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Disclaimer: This visu inspection is done with due diligence to find obvious clear water cross-connections
and does not imnlv the structure meets all Citv Codes.
White: Homeowner Yellow: City Pink: HRG