HomeMy WebLinkAboutSump Pump Inspection~ C~) ~F pRlo~
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City of Prior Lake
Sump Pump and I/I Reduction
Inspection Form ~~,~, ~
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Name. ~~~~~~ / C /•G~~~~ Da~-~~ ~~ Tima~.`~~~m./p.m.
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,~`' First Insp ion econd L~ Q
Address:lJ~~~~~~~1~~ -C; ~/~-~C.. Own: Rent: '~ Age of Home: C...J
r ~i,/ r,, . Residential: ~ ~
Prior Lake, MN 55-~~~ Phon~'7~ ~~~ Non-ResidentiaL• Q
/_ . . _~, % . .. :
A. BASEMENT ~es ~ No~ ~ 5UMP BASKET ~ 0 LZY~I -Q 2~ 3 ~
WATER IN BASKET a Yes C~No SI7MP PU~M O 0 ~'"1 ~ 2~ ~~ 3.~-~ ~
WATER IN BASEMENT (flow over floor) ~ Yes CsYIQo CISTERN ~ Yes ~'1Vo
(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 Q Laundry tub ~ Sanitary sewer ~utside
at Inspection: Cl Floor drain ~ Other
Priar to Inspection: C~
When was systern installed, or most rece modified? (Date) /"~ ~/ and why
O Home came witli system esponse to inspection program Q Other
~ Water in basement ~ Prev' s system failed
I R E: ~ Near I°!" Awa
B. ROOF LEADERS: es ~ No D SCHA G y
G YARD DRAINS I~ Yes WINDOW WELLS a Yes E7''No
BEAVER 5YSTEM ~ Yes No
D. PROPERTIES WITH SUMP PUMPS _ ~"~ '_/~~
When does pump run? ~ Fall C~'Summer 1'J Sprin ~ Wi r
(check all that apply) How often does pump run? T,L, GA~/ ~
Where does pump discharge to outside? ~ Front ~ Back
NOTES:
SUMP PUMP SYSTEM: t~'~ASS Q FAIL You have 30 days to bring your system into compliance with current ~,.~~""~
regulations. When you are ready for reinspection, ca[1651/644-1469 for an appoiru .
Is there another place where clear water enters the sanitary sewer system? ~ Yes o
Where is this location?
This area will need to fixe the clear ~ter,,~i~charges to the storm sewer system.
Inspector: . %a'°'`'" „_'`•--~" Date: ~ -f..~ -
Resident: , , _ Date: -.,~.~'
Disclaimer: This visuai ~ispection 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