HomeMy WebLinkAboutSump Pump Inspection, ,P / ~~ ( ~F PRIp
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City of Prior Lake
Sump Pump and I/I Reduction
Inspection Form ,QpPJ~
Name: /~A~ G~.S ~ lJ ~~- Q/~~ Date~ ~~~ Time~~~Da.m./p.m.
~~ First Inspfe ~' n A~ Second ~
Address: ~~~~ ~~ ~~~=~i~i(~GC 7"~ ~/,,~:.~ Own: ~'' Rent: Age of Home: 2 ~
~/~/ ,.,~r Residential: ~ ~
Prior L~ke, MN 55 ~~i~/ Phone: 7'`Y~'~L~•~/~ Non-Residential: ~
A. ~ BASEMENT ~~ No~ 5UMP BAS T D~j ~ 1 L7 2~ 3 ~
WATER IN BA5KET ~ Yes o SUMP P IC]'~0 ~ 1 O 2~ ~
WATER IN BASEMENT (flow over floor) ~ Yes o CISTERN ~ 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 O Laundry tub Q Sanitary sewer ~ Outside
at Inspection: ~ Floor drain Q Other '"
Prior to Inspection: --~'
When was system installed, or most recently modified? (Date) and why
~ Home came with system ~ Response to inspection program ~ Other
Q Water in basement ~ Pre ious system failed
B. ROOF LEADERS: 19~Yes ~ No DISCHARGE: I] Near PJ' Away
C. YARD DRAINS ~ Yes [-D~'~N WINDOW WELLS ~ Yes L"1~'No
BEAVER SYSTEM ~ Yes [D~NO
D. PROPERTIES WITH SUMP PUMPS
When does pump run? ~ Fall ~ Summer ~,SP1jng ~ Winter
(check all that apply) How often does pump run?
V~here does pump discharge to outside? 17 Front ~ Back O Side
NOTES:
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SUMP PUMP SYSTEM: I~PASS ~ FAIL You have 30 days to bring your system into compliance w' h current
regulations. When you are ready for reinspection, cal[ 651/644-1469 for appointment.
Is there another place where clear water enters the sanitary sewer system? ~ Yes No
Where is this location?
This area will need to be f so clear wat~f di~arges to the storm sewer system.
Inspector:
Resident:
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Date: ~'~-
Date: ~
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 Pinks : HRG