HomeMy WebLinkAboutSump Pump Inspection.,r'~~
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City of Prior Lake
Sump Pump and I/I Reduction
Ins~ection Form
Name: ~'~ ~ r ~!/r r~!~ Date: ~- /- Time: ~~ a.
s, ~~,5 ~' )~ First Inspection ~Second ~
Address: ~ r °`~° !'I //~S ~ N~ Own: t~'~Rent: Age of Home:~ r s
Residential: ~ ~
Prior Lake, MN 55 37Z Phone: `~~-Q~~Z Non-Residential: ~
A. BASEMENT ~'Yes ~ No 5UMP BASKET ~ 0 LtJ' 1~ 2 ~ 3 ~
WATER IN BASKET ~ Yes ~1o SUMP PUMP t~"f ~ 1 a 2 ~ 3 ~
WATER IN BASEMENT (flow over floor) ~ Yes I~~~ CISTERN ~ Yes ~"No
(If no pump, place sticker across edge of sump cover and basement floor so any removaY of cover will
break seal. Skip to Part B of this form.)
Discharge Point ~ Laundry tub ~ Sanitary sewer ~ Outside
at Inspection: ~ Floor drain ~ Other
Prior to Inspection:
When was system installed, or most recently modified? (Date) and why
~ Home came with system ~ Response to inspection program Q Other
~ Water in basement ~ Previous system failed
B. ROOF LEADERS: !~''~'es ~ No DISCHARGE: ~ Near ~1-'~way
G YARD DRAINS ~ Yes ~To WINDOW WELLS a Yes ~d' No
BEAVER SY5TEM ~ Yes ~'I~o
D. PROPERTIES WITH SUMP PUMPS
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 ~ Side
NOTES:
SUMP PUMP SYSTEM: ~`pASS ~ FAIL You have 30 days to bring your system into compliance with current
~~ regulations. When you are ready}'or reinspection, ca116511644-1469 for an appointment.
Is there another place where clear water enters the sanitary sewer system? ~ Yes ~ ivo
Where is this location?
This area will need to be fixed so the clear water discharges to the storm sewer system.
~ / J
Inspector:
Resident:
Date: 3 ~
Date:
Disclaimer: This visual inspec on is done with due diligence to find obvious clear water cross-connections
and does not imnlv the structure meets all Citv Codes.
White: Homeowner Yellow: City Pink: HRG