HomeMy WebLinkAboutSump Pump Inspection~c
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City of Prior Lake
Sump Pump and I/I Reduction
Inspection Form
Name: V V i~~`;cc~nS E~e~,~ o~ Date: -~-`~°f Time:~a.m./p.m.
First Inspection L~'~Second O
Address: ~„3 3~ ~.a h~~/ Cbv~ ~~. ~~ Own: I~''12ent: ~ Age of Home: L/~Vl.
Residential: l~--
Prior Lake, MN 55 3 7.~ Phone: ~~ ~~ 7~~,~,~ Non-Residential: ~
~{'c~~..' /~ a~(.
A. BASEMENT O Yes ~"o ~ SUMP BASKET L~''~r ~ 1 ~ 2 ~ 3., ~
WATER IN BA5KET ~ Yes ~ No SUMP PUMP ~ Q 1 ~ 2 ~ 3 ~
WATER IN BASEMENT (flow over floor) ~ Yes ~ No CISTERN ~ Yes ~fiTo
(If'`~o pump, place sticker across edge of sump cover and basement floor so any removal of cover will
break s"~a~:., Skip to Part B of this form.)
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Discharge Point ~ Laundry tub L7 Sanitary sewer D Outside
at Inspection: ~ Floor drain Q Other
Priar to Inspection:
When was system installed, or most recently modified? (Date) and why
O Home came with system ~ Response to inspection program CJ Other
a Water in basement ~ Previous system failed
B. ROOF LEADER5: ~ Yes C~No DISCHARGE: Q Near ~ Away
C. YARD DRAINS ~ Yes ~No WINDOW WELLS ~ Yes l~~o
BEAVER SYSTEM ~ Yes ~o
D.
NOTES:
~ Spring ~ Winter
~ Back ~ Side
SUMP PUMP SYSTEM: ~ASS ~ FAIL You have 30 days to bring your system into compliance with current
regu[ations. When you are ready for reinspection, cal[ 651 /644-1469 for an appointment.
Is there another place where clear water enters the sanitary sewer system? ~ Yes ~-i~'b
Where is this location?
This area will need to be fixed so the clear water discharges to the storm sewer system.
Inspector: .r.~ Date: ? "7- 9 /`'
Resident: ; ~s.r~ ,,~-~~ ",f ~ ~,~^', Date: "7 - 7 - ~19
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.
PROPERTIES WITH SUMP PUMP5
When does pump run? ~ Fall ~ Summer
(check all that apply) How often does pump run?
V~here does pump discharge to outside? ~ Front
White: Homeowner Yellow: City Pink: HRG