HomeMy WebLinkAboutSump Pump Inspection~ 4F PRtp~
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City of Prior Lake
Sump Pump and I/I Reduction
Insnection Form
Name: ~r'~« y~ ~r~ ~{~, „-{ ;,, Date: 5- 7- q y Time: ~~ ? ~ a.m./p.m.
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First Inspection L~'f Second ~
Address: ~~ G cr' ~? ~, f f*~ n~ f ~ ~~. JJ ~ Own: I~' Rent: ~ Age of Home:~
Residential: I~'
Prior Lake, MN 55 ~.~ Phone: ~ ~-?/ U,3 Non-Residential: ~
! G
A. BASEMENT G~ Yes ~ o t 5`~JMP BASKET ~~ 1 ~ 2 Q 3 ~
WATER IN BA5KET ~ Yes ~ No SiJMP PUMP LI~O ~ 1 a 2 Q 3 ~
WATER IN BASEMENT (flow over floor) ~ Yes LTFNo CISTERN ~ Yes 13~0
(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 Q Laundry tub C] Sanitary sewer Q Outside
at Inspection: ~ Floor drain ~ Other
Prior to Inspection: ~ ,.~.
When was system installed, or most r~cently modified? (Date) and why
~ Home came with system Q Response to inspection program ~ Other
~ Water in basement I~ Previous system failed -~^~
~ L}/c i h J ~~x~ f ~~f
B. ROOF LEADER5: C'J~Yes ~ No DISCHARGE: ~ Near L~'~way ~,~ / 4,. d`~
C. YARD DRAINS ~ Yes ~#''F1~o WINDOW WELLS Q Yes 13~No ~~ X~~ ~~' ~
BEAVER SYSTEM ~ Yes L~""1~10
D. PROPERTIES WITH SUMP PUMPS
When does pump run? ~ Fall a Summer ~ Spring ~ Winter
(check all that apply) How often does pump run?
V~here does pump discharge to outside? ~ Front ~ Back ~ Side
NOTES:
SUMP PUMP SYSTEM: ~''~rASS 17 FAIL You have 30 days to bring your system into compliance with current
regulations. When you are ready for reinspection, ca[! 651 /644-1469 for an appointment.
Is there another place where clear water enters the sanitary sewer system? ~ Yes i~'~
Where is this location?
This area will need to be fixed so the clear water discharges to the storm sewer system.
Inspector: Date: ~ - 7- 1 ~
Resident: l/a Date: S• 7~ 9 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 Y'el~ow: Gity Pink: HRG