HomeMy WebLinkAboutSump Pump Inspection
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City of Prior Lake
Sump Pump and I/I Reduction
Inspection Form
Name: ~ ~ ~ ~,~.~~,~~i /~ 0~~~
Date:7"~~ '~ ~ TimeJ°~30a.m./p.m.
~ ~~ First Inspection ~nd ~
Address:~~,~~~~ ~'~~~~~~~'~ ~/~ Own: L~'i~ent: ~ Age of Home:~
2~~ ~/ L~ S O~.~ Residential: C~-"'~r `
Prior Lake, MN 55~' Phone:7 ? Non-Residential: Q
A. BASEMENT ~s d No~ /'~ SiJMP BASKET ~ 0 ~ 2 ~ 3 ~
WATER IN BASKET ~ Yes I~No SUMP ~P~ 0~ 1 ~ 2_ ~_, ~3--~
WATER IN BA5EMENT (flow over floor) ~ Yes L~iQo CISTERN ~ 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 ~ Laundry tub ~ Sanitary sewe~ 17 Outside
at Inspection: ~ Floor drain ~ Other
Prior to I ction:
When s system installed, or most recently modified? (Date) and why
Home came with system L~ Response to inspection program ~ Other
~ Water in basement ~ Previo system failed
B. ROOF LEADERS: Yl~' es ~ No DISCHARGE: ~ Near ~-'l~way
C. YARD DRAINS Q Yes L~No WINDOW WELLS ~ Ye~T'~o ~
BEAVER SYSTEM ~ Yes ~
D.
NOTES:
~I Spring
.~--_ Q Winter
~ Back Q Side
SUMP PUMP SYSTEM: L'~''PASS ~ 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 appointment.
Is there another place where clear water enters the sanitary sewer system? ~ Yes A~o~~~
Where is this location?
This area will need t f so the cle wat~flischar~es to the storm sewer system.
Date: " / '" ~ '
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.
PROPERTIES WITH SUMP PUMP5
When does pump run? ~ Fall ~ Summer
(check all that apply) How often does pump run? _
V~here does pump discharge to outside? ~ Front
White: Homeowner Yellow: City Pink: HRG