HomeMy WebLinkAboutSump Pump Inspectionr
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City of Prior Lake
Sump Pump and I/I Reduction
Inst~ection Form
Name: ~,~ ~~, ~° ~ ',~ l~, r~ l~ v ~ ~ `{r; ~ i ~..
Address: ~'-~/~ L'UN ~y ~oVe ~v ~. ' ~
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Prior Lake, MN 55 ,? ~.,.~ Phone: 1/cl 7_ .~>~'
Date: T-.7~-'9 Time: j~'uo a.m./p.m.
First Inspection ~ Second ~
Own: ~""Rent: ~ Age of Home:~l~
Residential: ~
Non-Residential: O
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A. BASEMENT 13'I'es ~ No SUMP BASKET 13~0 ~ 1 ~ 2 ~ 3 ~
WATER IN BASKET ~ Yes ~ No SiJMP PUMP ~ Q 1 ~ 2 a 3 O
WATER IN BASEMENT (flow over floor) ~ Yes ~"No CISTERN Q Yes ~0"'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 I~ Laundry tub ~ Sanitary sewer Q Outside
at Inspection: ~ Floor drain ~ Other
Prior to Inspection:
t When was system installed, or most recently modified? (Date) and why
~ Home came with system L~ Response to inspection program ~ Other
~ Water in basement C~ Previous system fail ed
B. ROOF LEADERS: C~'"~Yes ~ No DISGHARGE: ~ Near P.~Away
C. YARD'bRAINS ~ Yes PJ~No WINDOW WELLS ~ Yes A''~To
BEAVER 5YSTEM ~ Yes I~i~o
D. PROPERTIES WITH SUMP PUMPS
When does pump run? I~ Fall ~ Summer ~ Spring a Winter
(check all that apply) How often does pump run?
V~here does pump discharge to outside? ~I Front ~ Back O Side
NOTES: ~---•-•-•-• L ~ --~-~ ---~`~~`~ ~ c.~,.'. '--~ ~ •~~ --•-~~ r ~ i '~~ i ~ rti,.~~sr , -•-•-•-•-•-•-•- - -•-•-•-
SUMP PUMP SYSTEM: ~",PASS ~ FATL You have 30 days to bring your system into compliance with current
regulations. 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? C~ Yes C~"No
Where is this location?
This area will need to be fixed so the clear water discharges to the storm sewer system.
Inspector: .~ f Date: j-2 a- 9~9
Resident: +r - ~''~ Date: .$- ~o - 99
Disclauner: This visnal inspection is done with due diligence to find obvious clear water cross-connections
and does not imply the structnre meets all City Codes.
White: Homeowner Yellow: City Pink: HRG