HomeMy WebLinkAboutSump Pump InspectionCity of Prior Lake
, ,/'/ ~1 Residential: ~ ~
Prior Lake, MN 55 ~~/~ Phone:7`'Y~ '(G'~~'~ Non-Residentia~: ~
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Inspection Form ,q,~~~~
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Name: L~/r°~'~~~'~ ~'L~-~~/ Date~'~~"9~ Time;~~ a.m./p.m.
_ First Ins~p~ec ' n Second ~ ~y
Address:~~~!~ ~~~C~G~~D~ ~~~~ Own: I~'" Rent: Age of Home: ~/
A. BASEMENT ~s Q No /` SiJMP BA5KET t~j~ 1~ 2 ~ 3 ~
WATER IN Bt1SKET ~ Yes ~,~o SUMP P~~ ~0 ~ 1 ~ 2_ ~~ ~
WATER IN BASEMENT (flow over floor) ~ Yes f~~No CISTERN l7 Yes L~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 ~] Laundry tub ~ Sanitary sewer ~ Outside
at Inspection: Q Floor drain O Other '"'"
Prior to Inspection: -~'`""
When was system installed, or most recently modified? (Date) and why
~ Home came with system ~ Response to inspection program Q Other
~, Water in basement ~ Previous syste iled
B. ROOF LEADERS: O Yes o DISCHARGE: ~ Near Q Away
C. YARD DRAINS ~ Yes ~i~V~ WINDOW WELLS O Yes ~"No
BEAVER SYSTEM ~ Yes ~~NO
D. PROPERTIES WITH SUMP PUMPS
When does pump run? ~ Fall ~ Summer Q~ring ~ Winter
(check all that apply) How often does pump run?
V~here does pump discharge to outside? ~ Front ~ Back 17 Side
NOTES:
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SUMP PUMP SYSTEM: ~~ASS ~ 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 pointment.
Is there another place where clear water enters the sanitary sewer system? ~ Yes L~ No
Where is this location?
This area will need to be f d e clear w~r ' c rges to the storm sewer system.
I Inspector:A ~~ • (~'./L~- ~j-r.e~~,.--~''" Date: ~ - ~~ - ~ ~ I
Resident: ~ Date: - ~
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.
Sump Pump and I/I Reduction
White: Homeowner
Yellow: City
Pink: HRG