HomeMy WebLinkAboutSump Pump InspectionCity of Prior Lake
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Name: ~~~~~'~~~ ~~~ Date. ~ ~~ Time:~~~ a.m./p.m.
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/~~y ~/~ ~ ~ ~ First Inspe~c Second ~ p,
Address: ~~w !~`~' ~~'~~ ~~ Own: iYRent: Age of Home: %M~
~/ Residential: ~
Pri~ Lake, MN 55 ~~,~ Phone: Ta~"~~~~ Non-Residential: ~
Insnection Form
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B. ROOF LEADERS:
C. YARD DRAINS ~ Yes L~1~
~ Yes ~
~ DISCHARGE: ~ Near
WINDOW WELLS ~ ~ Awa
Y
Yes Q''No
BEAVER SYSTEM ~ Yes L~~'
D. PROPERTIES WITH SUMP PUMP5
When daes pump run?
(check all that apply) ~ Fall ~ Summer ~ Spring ~
How often does pump run? /(/~ /~~ Winter
V~here does pump discharge to outside? ~ Front ~ Back O Side
NOTES:
d .iv.-...~ ,~ ~, ~
A. BASEMENT es ~ No~ SiJMP BASKET Q 0 ~ 2 ~ 3 L7
WATER IN BASKET ~ Yes o SUMP P ~~ ~ 0 ~ 2 ~ /3 ~
WATER IN BASEMENT (flow over floor) ~ Yes d~~fo CI5TERN ~ Yes L~~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 ~ Laundry tub ~ Sanitary sewer utside
at Inspection: ~ Floor drain Q Other
Prior to Inspection:
When wa stem installed, or most recently modified? (Date) and why
ome came with system ~ Response to inspection program ~ Other
O Water in basement ~ Previous syst failed
SUMP PUMP SYSTEM: t~FASS L7 FAIL You have 30 days to bring yaur system into compliance with current
regulations. When you are ready jor reinspection, call 651 /644-1469 for an ap ' ent.
Is there another place where clear water enters the sanitary sewer system? ~ Yes o
Where is this location?
This area will need to b e,d,sa'~he clear~fat~discharges to the storm sewer system.
Inspector:
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
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Date:
Date:
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White: Homeowner
Yellow: City
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