HomeMy WebLinkAboutSump Pump InspectionCity of Prior Lake
Sump Pump and I/I Reduction
B.
Ins~ection Form
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Name: ~9~C/,~O/~ ~i~//.O Date:r~`~"~~ Tim~~~~a.m./p.m.
~ First Insp~e '~n~~ Second Q
Address:~~~'~ ~~~G'f~~40D /~ /,,~,C`~ Own: Q' Rent: Age of Home:~
~/' // Residential: ~
Prior Lake, MN 55~~~/ PhoneJ°~`c~'L~~~~ Non-Residential: D
A. BASEMENT ~s~ SUMP BASKET ~ 0 1 a 2 O 3 ~
WATER IN BASKET es ~ No SiJMP~~~~ ~ 1 ~ 2 ~~ C~
WATER IN BASEMENT (flow over floor) ~ Yes o CISTERN ~ Yes L E?'~
(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 O Laundry tub ~ Sanitary sewer ^...~ Outside
at Inspection: ~ Floor drain ~ Other
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Prior to Ins ection:
When s systern installed, or most recently modified? (Date)_
Home came with system ~ Response to inspection program
~ Water in basement ~ Previous sys failed
C. YARD DRAIN5 Q Yes N WINDOW WELLS ~''I'es Q No
BEAVER 5YSTEM Q Yes ~
and why
~ Other
ROOF LEADERS: ~ Yes No DI5CHARGE: ~ Near ~ Away
~
D. PROPERTIES WITI~ SUMP PUMPS
When does pump run? I~ Fall ~ Summer ~ Sp~ ~ Winter
(check all that apply) How often does pump run?
Wrhere does pump discharge to outside? d Front I~ Bae~c Q Side
NOTES: ~ _ _ ---
SUMP PUMP SYSTEM: ~ASS ~ FAIL You have 30 days to bring your system into compliance with curr
regutations. When you are ready for reirrspection, ca11 651 /644-1 469 for an ap ' ent.
Is there another place where clear water enters the sanitary sewer system? Q Yes o
Where is this location?
This area will need to be~ice~ the clea;iwa , ischarges to the storm sewer system.
Inspector: .~`~~ ~"'~--' Date: .~G - y '
Resident: ,. a,, t ; N n- ~n _ 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 Cit_y Codes.
White: Homeowner
: Yellow: City
Pink: HRG