HomeMy WebLinkAboutSump Pump Inspection,~ ~ ~~ PRIp
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City of Prior Lake
Sump Pump and I/I Reduction
Inspection Form ,q,~~ ~
Name:~ ~'/ /~~ ~J f~.~ T Date~ ~~r/ Time~ODGa.m./p.m.
~~Q y - ~.~~,,,First Insp,e~ on ~'""Second ~
Address: ~~~'~~ ~O/.C ~ ."~ Own: ~ Rent: Age of Home:~~J
,/'/ Residential: ~ .
Prior Lake, MN 55 ~~~ Phone'Y'Y~;Zi2.3 `JJ Non-Residential: ~
~ .--- - - -- .,.- ~.-- .
A. BA5EMENT es a No~~ SUMP BASKE 1~ 2 ~ 3 ~
WATER IN BASKET ~ Yes ~No SiTMP P 0 Q 1 ~ 2~ ~~ ~
WATER IN BASEMENT (flow over floor) ~ Yes o CISTERN ~ Yes C9-2Go
(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 ~ Laundry tub ~ Sanitary sewer ~ Outside
at Inspection: O Floor drain Q Other -~''~
Prior to Inspection: -~""~
~ When was system installed, or most recently modified? (Date) and why
~;
D Home came with system ~ Response to inspection program ~ Other
~ Water in basement O Previous syst failed
B. ROOF LEADER5: ~ Yes ~ DISCHARGE: Q Near C] Away
C. YARD DRAINS ~ Yes L~!' ~N~ WINDOW WELLS Q Yes ~~to
BEAVER SYSTEM ~ Yes Sa''No
D. PROPERTIES WITH SUMP PUMPS
'f
When does pump run? ~ Fall Q Summer ~ Spring ~ Winter
(check all that apply) How often does pump run? ~
V~here does pump discharge to outside? ~ Front ~ Back Q Side
NOTES: /
SUMP PUMP SYSTEM: ~ASS ~ FAIL You have 30 days to bring your system into compliance with current
regutations. When yoa are ready jor reinspection, ca11657/644-1469 jor an ent.
Is there another place where clear water enters the sanitary sewer system? ~ Yes o
Where is this location?
This area will need to be edls~'.#tie clear ~ter~~harges to the storm sewer system.
.
Inspector:
Date: ~ ~ >~ -
Date: /6-
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