HomeMy WebLinkAboutSump Pump Inspection~ ~ ~F PRIpfP
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City of Prior Lake
Sump Pump and I/I Reduction
Inst~ection Form
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Name: C~i~~(/ /~.~,~:'~.G ~ Date• ~-' ~ Tim m./p.m.
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~~/'~/~~ ~~'~ /,~,~ First Inspectio econd I~
Address: ~..~ ~~~ (.~ f~ Own: ent: Q ge of Home:~
~. ~/,/ .y Residential: ~
Prior L e, MN 55~ Phone" 7`7 /-' ~ Non-Residential: ~
A. BASEMENT es ~ No SUMP BASKET ~ 1 ~ 2 ~ 3 ~
WATER IN BASKET ~ Yes ~ SUMP ~P~ 0~ 1 ~ 2 ~~ ~3,,.~~
WATER IN BASEMENT (flow over flo~r) ~ Yes ~-iQo CISTERN ~ Yes L~-I~To
(If no pump, place sticker across edge of sumg 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: C~ Floor drain I~ Other 'r
Prior to Inspection: /
When was system installed, or most recently modified? (Date) and why
I~ Home came with system O Response to inspection program ~ Other
~ Water in basement ~~evi s system failed
B. ROOF LEADER ~~ es ~ No DISCHARGE: ~ Near ~#~ A w a
~Q~ Y
r - ~/'
C. YARD DRAINS ~ Yes WINDOW WELLS ~ Yes ~O
BEAVER 5YSTEM ~ Yes ~
D. PROPERTIES WITH 5UMP PUMPS
When does pump run? ~ Fall ~ Summer Q Spring ~ Winter
(check all that apply) How often does pump ru~? --r'"'
Where does pump discharge to outside? ~ Front ~ Back ~ Side
NOTES:
SUMP PUMP SYSTEM: ~Y'rASS ~ FAIL You have 30 days to bring your system into compliance with curre
regulations. When you are ready for reinspection, call 651 /644-1469 for an ntment.
Is there another place where clear water enters the sanitary sewer system? ~ Yes o
Where is this location?
This area will need to be ed e clear ~r ~harges to the storm sewer system.
Inspector:
Resident:
Date:
Date:
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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