HomeMy WebLinkAboutSump Pump Inspection~ ~~ PRI p~
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City of Prior Lake
Sump Pump and I/I Reduction
Inst~ection Form
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Name: ~~ 0 ~ ~it= ~ ~- ~
Address: ~~~ ~~ ~~~ Z `~ ~? ~~D
Prior Lake, MN 55 ~ 7z- Phone:-7'~Q'~~'~~
Date;~`~" ~9 Time,.3'y~a.m./p.m.
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First Insp~e '~n L~ Second 17
Own: L~"' Rent: ~ Age of Home: ~~,~
Residential: ~~
Non-Residential: I]
~(,or,u~,r~ ~..... ~
A. BASEMENT es ~ No~~/ SiJMP BASKET ~ 0 ~ 2 L7 3~
WATER IN BASKET O Yes ~J~Qa SiJMP P~ 0~ 1 ~ 2~ ~~ ~3 ~
WATER IN BASEMENT (flow over floor) ~ Yes 0' N o CISTERN ~ Yes Q~ I Q 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 I~ Laundry tub
at Inspection: 17 Floor drain
Prior to Inspection:
When was system installed, or most recently modified? (Date)_
~~ome came with system ~ Response to inspection program
~ Other
and why
~ Water in basement ~ Prev' s system failed
B. ROOF LEADERS: Ye No DISCHARGE: Ca Near way
C. YARD DRAINS Yes ~1 l~e~ WINDOW WELLS ~ Yes o
BEAVER SYSTEM ~ Yes ~~No
D. PROPERTIES WITH SUMP PUMPS
When does pump run? ~ Fall L~ Summer ~ Spring ~ Winter
(check all that apply) How often does pump run?
V~here does pump discharge to outside? Q Front ~ ack ~ Side
NOTES: ~- --~~S,~E~ -~AS-----~~-E~,~1 ~~'~1 EN T'EA o J E~ -•~-•---•---•-•-•-•-•-----•-•-•-
,(lo~ - oPE~eA?i oN,4 ~- /
SUMP PUMP SYSTEM: ~I'ASS ~ FAIL You have 30 days to bring your system into compliance with current
regulations. When you are ready for reinspection, ca[l 651 /644-1469 for an ap nt.
Is there another place where clear water enters the sanitary sewer system? Q Yes ~~' :~
Where is this locatio .
This area will need fi so the cle wa ischarges to the storm sewer system.
Resident:
~ Sanitary sewer ~17 Outside
a Other
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Date:
Date:
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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.
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White: Homeowner Yellow: City Pink: HRG