HomeMy WebLinkAboutSump Pump Inspection~~~~ PR,~p
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City of Prior Lake
Sump Pump and I/I Reduction
ection Form
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Name: ~-T'~~~1_~~-,~^-~~~ S'Z~
1~ ~ ~~ ~~P, C'o ~i PA~~ G P
Address: ~/9 {/ ~'~ r~'l~ ~-l T ,~,,1 C:
Prior Lake, MN 55~ 7? Phone;`~~~,3 /
Date:~~~`~~ TimeY~'~'a.m./p.m.
First Inspect' n l~-~'~econd 17
Own: 17-~'~ent: ~ Age of Home: ~~
Residential: ~~ ~.
Non-Residential: ~
A. BA5EMENT ~ Yes ~~ SITMP BASKET ~ 1 d 2 ~ 3 ~
WATER IN BASKET 17 es o SUMP C~~~ 0 a 1 ~ 2~~ f~
WATER IN BASEMENT (flow over floor) ~ Yes o CISTERN 17 Yes o
(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 17 Laundry tub ~ Sanitary sewer ~~-7 Outside
~ at Inspection: ~ Floor drain a Other
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Prior to Inspection:
When was system installed, or most recently modified? (Date) and why
O Home came with system ~ Response to inspection program ~ Other
O Water in basement ~ Previous system failed
B. ROOF LEADERS: O Yes DISCHARGE: la Near ~ Away
C. YARD DRAINS ~ Yes ~~ WINDOW WELLS Q Yes ~„AFQ'f /
BEAVER SYSTEM ~ Yes Cj~
D. PROPERTIES WITH ~SUMP PUMPS
When does pump run? O Fall ~ Summer ~ Spring 17 Winter
(check aIl that apply) How often does pump run? ''
V~here does pump discharge to outside? ~ Front ~ Back..,. a Side
NOTES: -•---•-._._.-•-•-•---•-•-•-•---•-•---•------- -•-•---•-•-•---•-•----- - -•-•-•-•-------•-•- -•-•-----•- -------•---•-
SUMP PUMP SYSTEM: ~ P S a FAIL You have 30 days to bring your system into compliance with current
regutations. When you are ready for reinspection, cal[ 651 /644-1469 for an appoi ent.
Is there another place where clear water enters the sanitary sewer system? D Yes
Where is this location?
This area will need to be f so clear wate ischarges to the storm sewer system.
Inspector: - Date: Z- - 7 y'
Resident: ~? Date: ~ _ 9 _ ~j' f
~.
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.
S
White: Homeowner Yellow: City Pink: HRG