HomeMy WebLinkAboutSump Pump Inspection,~
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I Name:
City of Prior Lake
Sump Pump and I/I Reduction
Inspection Form ~~Pl~--
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~~ ~ ~, ~~~~~~ Date:7" ~~' ~,~ Time/iw~a.m./p.m.
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/~, /~f ~~,~„~~ ~ ~ First Inspe 'on ~nd ~ ~ ~
Address: / ~~` ~L~ Own: Rent: ~- Age of Home:_
, /~~,~`~ Residential: ~ •
Prior Lake, MN 55 ~~Z Phone~`~` Non-Residential: ~
A. BASEMENT ~s~o SiJMP BASKET ~~ ~ 2 L~ 3 Q
WATER IN BASKET es ~ No SiJMP PJd~P 0 O 1 ~ 2~ ~
WATER IN BASEMENT (flow over floor) ~ Yes ~No CI5TERN O Yes 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 a Laundry tub ~ Sanitary sewer ~ Outside
at Inspection: ~ Floor drain ~ Other -
Prior to pection: ~'''
Whe as system installed, or most recently modified? (Date) and why
Home came with system ~ Response to inspection program ~ Other
~ Water in basement ~ Previous system failed
B. ROOF LEADER5: A~~: [IYYe . Q No DISCHARGE: ~ Near L9' Away
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C. YARD DRAINS '~~a~ Yes a- N~ ` WINDOW WELLS ~ Yes T NO
BEAVER SYSTEM L\~ ~ Yes ~/NO
Da~
D. PROPERTIES WITH SUMP PUMPS
When does pump run? ~1 Fall ~ Summer ~ Spring ~ Winter
(check all that apply) How often does pump run? '
V~here does pump discharge to outside? ~ Front Q Bac ~ Side
NOTES: /' T
SUMP PUMP SYSTEM: PASS 17 FAIL Youhave 30 days to bring your system into compliance with cu nt
regutations. When you are ready for reinspection, call 651/644-1469 for pointmera.
Is there another place where clear water enters the sanitary sewer system? ~ Yes No
Where is this location?
This area will need to be ed s clear wa di rges to the storm sewer system.
Inspector: ~ Date: ~ ~~' -
Resident: Date: -/ O - ~
Disclaimer.~1`'his visual inspection is done with due diligence to find obvious clear water cross-connections
and does not imply the structure meets all Cit~Codes.
White: Homeowner Yellow: City Pink: HRG