HomeMy WebLinkAboutSump Pump Inspection\~
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City of Prior Lake
Sump Pump and I/I Reduction
ction Form
Name: ~~ ~ ~ P +~ ~o ~ ~r ~"
Address: ~~l~l ~/ CG~~ ~ l'oue ~~` l S F
Prior Lake, MN 55 ;~~ Phone: ~1 ~/ 7- 2(~1
Date: tl ~:: ~~ y~ Time: 611 a.m./p.m.
First Inspection f~ Second ~
Own: ~' Rent: ~ Age of Home:.._'y
Residential: ~
Non-Residential: ~
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A. BASEMENT l~es D No SiJMP BASKET ~ t7 1 D 2 ~ 3 ~
WATER IN BASKET ~ Yes a No SUMP PUMP EJ' 0~ 1 ~ 2 17 3~
WATER IN BASEMENT (flow over floor) ~ Yes ~"No CI5TERN ~ Yes PJ'1~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
at Inspection:
~ Laundry tub ~ Sanitary sewer D Outside
Q Floor drain ~ Other
Prior to Inspection:
When was system installed, or most recently modified? (Date)
O Home came with system
~ Water in basement
B. ROOF LEADERS:
C. YARD DRAINS
BEAVER SYSTEM
and why
L7 Response to inspectio.n program ~ Other
~ Previous system failed
IJ~Yes ~ No DISCHARGE: ~ Near L'J' Away
~ Yes L'~No WINDOW WELLS ~ Yes L~'''~To
~ Yes ~No
D. PROPERTIES WITH SUMP PUMPS
When does pump run? ~ Fall ~ Summer
(check all that apply) How often does pump run?
17 Spring ~ Winter
V~here does pump discharge to outside? ~ Front ~ Back ~ Side
NOTES:
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, caU 651 /644-1469 for an appointment.
Is there another place where clear water enters the sanitary sewer system? ~ Yes B~No
Where is this location?
This area will need to be fixed so the clear water dischar~es to the storm sewer system.
Inspector: Date: ~ .~ `' ' J y
Resident: Date: L~_ ~ v- 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