HomeMy WebLinkAboutSump Pump Inspection~~~
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Inspection Form ~,~~~ j
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~'~~; !~~~'~'G~~ Date:r~`~~"~~ Timel~°~~m./p.m.
'/ First In,sp~e ~ Second Q /`~
Address: ~~ ~o '~~A'G~''~"+~ ~y~ /~'~'~ Own: 0~ Rent: ~ Age of Home: I~
2.y ~ /Q~ J ~ ~~~ Residential: ~
Prior Lake, MN SS+,:J /~ Phone y Non-Residential: I~
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A. BASEMENT ~es a No SUMP BASKET ~ 1 a 2 ~ 3 CI
WATER IN BASKET ~ Yes o < SUMP~~U~ 0~ 1 Q 2 ~~-0
WATER IN BASEMENT (flow ~over floor) Q Yes ~To CISTERN C1 Yes ~'l~fo
(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 Q Laundry tub ~ Sanitary sewer ,~- Outside
at Inspection: ~ Floor drain C7 Other
Prior to pection: '~
Whe as system installed, or most recently modified? (Date) and why
Home came with system ~ Response to inspection program ~ Other
Q Water in basement L~ Previous syst ailed
B. ROOF LEADERS: n ~ N~ ~ Yes No DISCHARGE: ~ Near ~ Away
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C.
D.
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YARD DRAINS "~~'~ ~ Yes ~ No - WINDOW WELLS
BEAVER SY5TE~~~~~j Yes ~
PROPERTIES WITH SUMP PUMPS
When does pump run? ~ Fall ~ Summer ~ Spring
(check all that apply) How often does pump run? "''
V~here does pump discharge to outside? ~ Front ~ Back
NOTES:
SUMP PUMP SYSTEM: I~ASS ~ FAIL You have 30 days to bring your system into compliance with current
regu[ations. When you are ~eady for reinspection, cal[ 651 /644-1469 for an appointment.
Is there another place where clear water enters the sanitary sewer system? ~ Yes 43~'fto
Where is this location?
This area will need to b ixe,d~.a~he clear~uate~harges to the storm sewer syst, .
I Inspector: ~,---.''~-'~` • ~-/"~,u,`'`/~`"°'~--~.~' Date: "~` ' , -~ - ~7 I
Resident:~ ~ ~-r~; , ~f~~~:`~ Date: - /3 -
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.
~ Yes ~~
~ Winter
D Side
City of Prior Lake
Sump Pump and I/I Reduction
White: Homeowner Yellow: City Pink: HR~,