HomeMy WebLinkAboutSump Pump InspectionCity of Prior Lake
Insnection Form
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Name: ' .~~•~~ ~~ ~~/h'~,~
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Address: ~~~~ `~~.~~.~ 2 y~~7" ~1~
Prior I,ake, MN SS.~fZ
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Date: ~~~ " ~~ Timei..l~m./p.m.
First Inspe~c ' ~ ~ Second ~ ~ ~~
Own: I~' Rent: Age of Home.
Residential: ~
Non-Residential: ~
/ w"v ~ti ~ ..-
A. BASEMENT es ~ No ,,/~ SiJMP BASKET ~ 1 ~ 2 ~ 3 ~,
WATER IN BASKET l7 Yes tl~,~~ 5iJMP P 0~ 1 O 2' ~_ /3-~
WATER IN BA5EMENT (flow over floor) O Yes ~ CISTERN d Yes 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 ~ Laundry tub ~ Sanitary sewer' ~ Outside
at Inspection: ~ Floor drain ~ Other
Prior to Inspection:
When was system installed, or most recently modified? (Date)
~ Home came with system
~ Water in basement
B. ROOF LEADERS:
C. YARD DRAINS
BEAVER SYSTEM
_-!
~ Response to inspection program ~ Other
~ Prev' us system failed
and why
es Q No DISCHARGE: ~ Near L~Y"Away
a Yes WINDOW WELLS ~ Yes ~No
~ Yes No
D. PROPERTIES WITH 5UMP PUMPS
When does pump run? ~ Fall ~ Summer ~ Spring a Winter
(check all that apply) How often does pump run? '"~^
V~here does pump discharge to outside? ~ Front ~ Back ~- a Side
NOTES:
SUMP PUMP SYSTEM: LYPASS ~ FAIL You have 30 days to bring your system into comp[iance with current
regutations. When you are ready for reinspection, call 651 /644-1469 for an ntment.
Is there another place where clear water enters the sanitary sewer system? ~ Yes o
Where is this location?
This area will need t ix~the cle~a~scharges to the storm sewer system.
I Inspector;/,'~-~ • ~G-'"~~`~'`~%~~--......~ Date: ''f-/S'= 9~ {
Resident: ~ /\,, , .~ ,~:/ Date: /S - I
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
White: Homeowner Yellow: City Pink: HRG