HomeMy WebLinkAboutSump Pump Inspection~~ ~F PRIp
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City of Prior Lake
Sump Pump and I/I Reduction
ction Form
Name: o ~ ~P/ ~ ~G ~i ,~ c ~ Date: ~' .,~ ` % f Time: /~~'o a.m./p.m.
First Inspection C3'~ Second ~
Address: ~~"~ ~~,~~~ f ~~ ~~ S'~ ~./ Own: L~-~` Rent: ~ Age of Home: ~=/~~ 7
ResidentiaL• ta---
Prior Lake, MN 55 3 7.~ Phone: ~/~/~ -/.,2~ ~ Non-Residential: ~
t~,/o k n`" ~
A. BASEMENT es ~ No SUMP BASKET Q 0 ~~ 2 ~ 3 ~
WATER IN BASKET t33f'es ~ No SUMP PiTMP C~3"''0 ~ 1 ~ 2 C~ 3~
WATER IN BA5EMENT (flow over floor) ~ Yes t7 No CISTERN I] Yes L~#"o
(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 a Laundry tub ~ Sanitary sewer ~ Outside
at Inspection: ~ Floor drain ~ Other
Prior to Inspection:
When was system installed, or most recently modified? (Date) and why
17 Home came with system ~ Response to inspection program ~ Other
~ Water in basement ~ Previous system failed
B. ROOF LEADERS: IJ Yes I~'No DI5CHARGE: Q Near ~ Away
C. YARD DRAINS ~ Yes L~-'i~o WINDOW WELLS ~ Yes ~'N~o
BEAVER SYSTEM ~ Yes L7-I'~fio
D. PROPERTIES WITH SUMP PUMP5
When does pump run? ~ Fall ~ Summer I~ 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 cunent
regu[ations. When you are ready}'or reinspection, cal[ 651/644-1469 for an appointment.
Is there another place where clear water enters the sanitary sewer system? ~ Yes L~1~o
Where is this location? -
This area will need to be fixed so the clear water discharges to the storm sewer system.
Inspector: l.,/.a..~ "''"` Date: b- J~
Resident: ~:' i '~ . , <' '~ ~~ ,~' r .. . `"` i Date: ~ - ; -
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