HomeMy WebLinkAboutSump Pump Inspection6~ oq0
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City of Prior Lake
Sump Pump and I/I Reduction
Inst~ection Form
Name: ~iCX~'v~~~~', ~~?"Y~ C+~-
Address: /SZ~g ~S'~~~~Qrn C1r- S'-~
Prior Lake, MN 5537~ Phone:
Date: Z' ~y'9 Time: ~'o~ a.m.~
~
First Inspection y~Second a
Own: ~ Rent• ~ Age of Home:
Residential: ~
Non-Residential: ~
A. - BASEMENT ta'~es ~ l~o SiJMP BASKET Q_ /0 ~~ 2 t7 3~
WATER IN BASKET @'Yes ,~o SiJMP ~P~ R'U ~ 1 ~ 2 t] ,3 ~
WATER IN BASEMENT (flow over floor) O Yes C•~1Qo CISTERN Q Yes ~10
(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 Q Outside
at Inspection: ~ Floor drain ~ Other
Prior to Inspection:
When was system installed, or most recently modified? (Date)
and why
~ Home came with system
~ Water in basement
B. ROOF LEADERS:
C. YARD DRAINS
BEAVER SYSTEM
D.
NOTES:
SUMP PUMP SYSTEM: ~ I~ASS d 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 appoi,umenr.
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 fixed so the clear water discharges to the storm sewer system.
I Inspector: Date: Z- Z~/- ~ I
Resident: ;~ , Date: e,2 - ~/ - '
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.
~
a Response to inspection program ~ Other
{~ Pr vious system failed
~tYYes ~ No DISCHARGE: Q Near ~' Awa
Y
~ Yes ~' No ' WINDOW WELLS ~ Yes Q No
Ca Yes ~
PROPERTIES WITH SUMP PUMPS
When does pump run? ~ Fall ~ Summer 17 Spring ~ Winter
(check all that apply) How often does pump run?
V~here does pump discharge to outside? ~ Front ~ Back ~ Side
WYsite: Homeowner Yellow: City Pink: HRG