HomeMy WebLinkAboutSump Pump Inspectionl~~
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City of Prior Lake
Sump Pump and I/I Reduction
ection Form
Name:y t~ ~t~~~~r1 ~~~ ~ ~ Date:~~ ,,,~~- q9 Time:d~~~ a.m./p.m.
First Inspection ~ Second ~
Address: / S~ k',a .~ ~ec ZY ~7~ ~~"f' 1~/~ ~ iC Own: I~'Rent: ~ Age of Home:~
Residential: f~--
Prior Lake, MN 55 ~?7~ Phone: 4- .,.?~7 Non-Residential: 17
,,,,ia ~k a~ r
A. BASEMENT ~es ~ No SUMP BASKET ~ 0 ~~ 2 ~ 3 O
WATER IN BASKET ~'~t'es O No SiJMP PUMP C~'6 ~ 1 ~ 2 ~ 3 Q
WATER IN BASEMENT (flow over floor) ~ Yes I~o CISTERN ~ Yes ~'14'0
(If no pump, place sticker across edge of sump cover and basement floor so any removal of cover will
break seal. 5kip to Part B of this form.)
Discharge Point ~ Laundry tub C'a Sanitary sewer I~ Outside
at Inspection: Cl Floor drain ~ Other
Prior to Inspection:
When was system installed, or most recently modified? (Date) and why
~ Home came with system ~ Response to inspection program U Other
Q Water in basement O Previous system failed
B. ROOF LEADERS: I~'~ es ~ No DISCHARGE: ~Near ~ Away ~"
C. YARD DRAINS Q Yes f3'IVo WINDOW WEL~.S ~ Yes L~'l~o
BEAVER 5YSTEM O Yes t~'No '
D. PROPERTIES WITH SUMP PUMPS . ~;~~
When does pump run? a Fall a Summer ~ Spring O Winter
(check all that apply) How often does pump run?
V~here does pump discharge to outside? a Front ~ Back ~ 5ide
NOTES:
SUMP PUMP SYSTEM: t3~'~ASS O FAIL You have 30 days to bring your system into compliance with current
regulation.s. When you are ready for reinspection, call 651 /644-1469 for an appointment.
Is there another place where clear waCer enters the sanitary sewer system? L~ Yes I~'T~o
Where is this location?
This area will need to be fixed so the clear water discharges to the storm sewer system.
Inspector: Date: ,~- „~.?- q 9
Resident: .~a.~' Date: ~- .1,~ - q 9~
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.
White: Homeowner Yellow: City Pink: HRG