HomeMy WebLinkAboutSump Pump Inspection~o
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City of Prior Lake
Sump Pump and I/I Reduction
Insnection Form
S° ' ~
Name: /~ ~~ ~,E'.~iC~ Date:'~`~'~ /Time~7f.:,~.m./p.m.
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,,.~ ~, ~ ~ `SC First In~spfe ~°on ~Second ~ ~j
Address: /~~ ~Q ~~~~z ~~~ ~~ Own: C4' Rent: Age of Home:f~~
~j ~~~ ~,,,. Residential: ~
Prior L e, MN 55 ~/~ Phone°:~~~ ~~%''7'J Non-Residential: Q
A. BASEMENT es ~t71~' SiJMP BASKET ~ 0 1~ 1~ 3~
WATER IN BASKET I~ ii~ ~ No SUMP P~ ~ 0 ~ 1 I~'2 C1 3~
WATER IN BASEMENT (flow over floor) ~ Yes [~o CISTERN t7 Yes ~~
(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 ~utside
at Inspection: ~ Floor drain Q Other
Prior to Inspection: ~ ~~ ~
When was system installed, or most recently modified? (Date) ~ ~ and why
~ e came with system ~ Response to inspection program ~ Other
ater in basement ~ Pr ious system failed
B. ROOF LEADER5: Yes D N DISCHARGE: ~ Near Q~'Away
y ~
C. YARD DRAINS ~ Yes~~ WINDOW WELI.S Q Yes ~d''No
BEAVER SYSTEM ~ Yes Q'No
D. PROPERTIES WITH SUMP PUMPS
When does um run? ~ Fall Summer S rin Winter
P P /C.~.~,~
(check all that apply} How often does pump run? ~ A/~ ~~~= ~~
V~here does pump discharge to outside? ~ Front Q Side
NOTES:~---~•-•-~GLiL%J-l.S~ /~ ~~.5•~.-'-~' ~T---._._._.-•-•-----•-----•-•-•-•-•---•---
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SUIVIP PUMP SYSTEM: L~'~ASS ~ FAIL You have 30 days to bring your system inxo comp[iance with current
regu[ations. When you are ready for reinspection, ca11651 /644-1469 for an appointment.
Is there another place where clear water enters the sanitary sewer system? ~ Yes I~ No
Where is this location?
This area will need to be d~6~ie clear w~ dis~arges to the storm sewer system.
Inspector:
Resident: `
Date: '7`~
Date: '~` c.'S
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