HomeMy WebLinkAboutSump Pump Inspection~ ~~ ~~~-~ ~~ ~~~ ~
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City of Prior Lake
Sump Pump and I/I Reduction
Insnection Form
Name: (,/ j ~~ G. Date: fJ- --~1~' Time:~a.m~
First Inspection Second ~ /
Address: ~~~~~ ,,~/~ ~U~' ~~ Own:~ Rent: Age of Home: ~f~
Residen~ial:'~
Prior Lake, MN 55 Phone: Non-Residential: L7
~~w~- ~~~~ ~--
A. BASEMENT ~'KE es a No SUMP BASKET Q 0~ 1 ~ 2 O 3 ~
WATER IN BA T~ Yes ~ No SiJMP PUMP ~0 17 1~ 2 ~ 3 Q
WATER IN BASEMENT (flvw over floor) ~ Yes~No CIST RN ~ Yes ~No
(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 d Sanitary sewer Q Outside
at Inspection: ~ Floor drain ~ Other
~
Prior ta Inspection: `~
When was system installed, or most recently modified? (Date) and why ~
~ Home came with system ~ Response to inspection program ~ Other
~ Water in basement 17 Previous system failed
B. ROOF LEADERS: Yes ~ No DISCHARGE: ~ Near ~ Away
~
C. YARD DRAINS ~ Yes No WINDOW WELLS ~ Yes~ No
BEAVER SYSTEM ~ Yes No
D. PROPERTIES WITH SUMP PUMPS
When does pump run? ~ Fall ~ Summer
(check all that apply) How often does pump run?
V~here does pump dischar,~e to outside? D Front
NOTES:/~f ~Q ~ /~'~/ ---------•-•-•-•-•-•-•-•-•-•-•--
~ Spring a Winter
~ Back I~ Side
SUMP PUMP SYSTEM: ~PASS ~ FAIL You have 30 days to bring your system into compliance with current
regulations. When you are ready }'or reinspection, ca[1651/644-1469 for an appointment.
Is there another place where clear water enters the sanitary sewer system? Q Yes ~ No
Where is this 1 ation? -~
This area 1 ne to be fixed ~q the clear wate~scharges to the storm sewer system.
Date: /O ~ 5~
Date: /0 c~%
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. _
White: Homeowner Yellow: City Pink: HRG