HomeMy WebLinkAboutSump Pump Inspectionf ~ ~~ PR.~p
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City of Prior Lake
Sump Pump and I/I Reduction
Inspection Form ~,~,~~r
Name: ~~i~~i5 ~/~/ ~~~`~, ~~~~'~ ~ Date:~~"~~~'~~ Tim~~-~ ~a.m./p.m.
~~
, /~~ , -_..-~ First Inspe n ~nd ~
Address: ~~~~~/ C..~~NQy~o% ~~ Own: Rent: ~ Age of Home: ~-~
,~/ Residential: L'9'~ ,~
Prior Lake, MN 55 ~~~ Phone:~"~~ ~v~~o Non-Residential: D
A. BASEMENT ~es ~ No~/ SiJMP BASKET
WATER IN BASKET ~ Yes Q"No w SUMP
P~ 0~ 1 17 2~ 3 ~
~Q ~
1 ~ 2
L
WATER IN BASEMENT (flow over floor) ~ Yes L~NO CISTERN '
~ Yes ~NO
(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 .,; O Outside
~
at Inspection: O Floor drain ~ Other
Prior to Inspection: ./ "
When was system installed, or most recently modi~ed? (Date) and why
~ Home came with system ~ Response to inspection program ~ Other
Q Water in basement O Pre ' s system failed
B. ROOF LEADERS: ~Y s~ N DISCHARGE: ~ Near Q~Awa
Y
C. YARD DRAINS ~ Yes C7 WINDOW WELLS D Yes ~
BEAVER SYSTEM ~ Yes No
D. PROPERTIES WITH SUMP PUMPS
When does pump run? O Fa11 ~ Summer O~ring ~ Winter
(check all that apply) How often does pump run?
V~here does pump discharge to outside? ~ Front O Back
-
• ~ Side
•
•-:r-~--•-•-•-•---
.-•-•-•-•-•-•-•---•---
-•--_. .-----•- -•-•-•-•---•-•-•-•-•-•-•-•--------
NOTES: -•-•-•-•-•-
•-•-•-•-•---•---•-•-•-
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SUMP PUMP SYSTEM: w~'t~SS ~ FAIL You have 30 days to bring your system into compliance with current
regutations. When you are'ready for reinspection, call 651/644-1469 for an appo~ era.
Is there another place where clear water enters the sanitary sewer system? ~ Yes 6YlVo
Where is this location?
This area will need to be ed ~a-~'ie clear wa~ di~arges to the storm sewer system.
Inspector: -
Resident: C~. , ~ /.1
Date: ..:~ -/~-
Date: _3 -/~-
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