HomeMy WebLinkAboutSump Pump InspectionZS`6Z,fev ~ - v
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` City of Prior Lake
Sump Pump and I/I Reduction
Inspection Form ,~,~,~,' ~~-
Name• ~~ ~ Date:~~ %~Q ~'~~ TimeX~-~da.m./p.m.
~ ~~~
.- ~, r , ~ First In_spe~c ' n ~nd ~ /
Address:~/~~~,f~ ~.r~-~~__~7" ~.D Own: C9~" Rent: ~ Age of Home: / 8
. y
Residential: L~~
Prior Lake, MN SS~v~~ Phone: _. ~~ Non-Residential: ~
A. ~SENILi`~I' ""~~ Y~' Q No / SiJMP BA5KET C~l~,,~` 1 Q 2 ~ 3 ~
WATER IN BA5 ~T ~ Yes L1~~ SUMP PUM "@~6 ~ 1 ~ 2 ~~17
WATER IN BASEMENT (flow over floor) ~ Yes ~CISTERN Q Yes C~To
(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 t7 Laundry tub I~ Sanitary sewer ~ Outside
at Inspection: ~ Floor drain ~ Other
Prior to Inspection:
When was system installed, or most recently modified? (Date)
Q Home came with system
Q Water in basement
B. ROOF LEADERS:
C. YARD DRAINS
BEAVER SYSTEM
/.
and why
~ Response to inspection program ~ Other
~ Previous system failed
s ~ No DISCHARGE: ~ Near ~Away
~
~ Yes D~No WINDOW WEL~.S ~ Yes ~`'iQ"o ~
O Yes L7 ~
D. PROPERTIES WITH SUMP PUMPS
When does pump run? O Fall 17 Summer ~ Spring D Winter
(check all that apply) How often does pump run? ~""-
V~here does pump discharge to outside? O Front a Back ~ Side
NOTES: ~- - -•-•-•---•---•- -•- - -•-•-•----- -•- - -•-•-•- -•- -•-•-•-•-•-•-•---•---r.~-:~_•-•-•-•-•-•---•-----•-•-----•-•-•---
Is there another place where clear water enters the sanitary sewer system? ~ Yes ~~0'''~,
Where is this location?
This area will need to be fix o the~ar water dischar.¢as to the storm sewer system
SUMP PUMP SYSTEM: ~~ O FAIL You have 30 days to bring your system into compliance with current
regulations. When you are ready for reinspection, call 657 /644-1469 for an appointment,
Inspector:
Resident:
Date: - /O -
Date: ,~J. -/o -
Disclaimer: This visual inspection is with due diligence to find obvious clear water cross-connecNons
and does not implv the structure mee s all City Codes.
White: Homeowner
Yellow: City
Pink: HRG