HomeMy WebLinkAboutSump Pump Inspection~'O ~~ PRI p
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City of Prior Lake
Sump Pump and I/I Reduction
Insnection Form
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Name: ~e v~n a~ ~ Pf ~ ,~fyc'P ~~~~'G` Date: c~~l~- ~ 9 Time:l~~'~/~a.m./p.m.
First Inspection 13"~~Second ~ ~ ~ ~
Address: ~ r~ ~~ Cr ~ f° r j~ ~) . S~^-~ Own: L3''~ Rent: ~ Age of Home: I Y-~.
Residential: C~"" ~
Prior Lake, MN 55 3 7.2 Phone: ~~S"" Non-Residential: Q
A I 0 ~.-I--
A. ~ BASEMENT ~'"es ~ ~NS SIJMP BASKET ~ 0 ~ 2 ~ 3 ~
,w~ WATER IN BASKET ~s O No SUMP PUMP t~~fl' ~ 1 ~ 2 ~ 3 ~
WATER IN BASEMENT (flaw over floor) ~ Yes L'~'i~"o r CISTERN Q Yes C~-~1'6'"
(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 ~ Outside
at Inspection: Q Floor drain Q Other
Prior to Inspection:
When was systern installed, or most recently modified? (Date) and why
Q Home came with system O Response to inspection program ~ Other
~ Water in basement O Previous system failed
B. ROOF LEADERS: I~ Yes C3"'No DISCHARGE: Q Near ~ Away
C. ARD DRAINS ~ a No WINDOW WELLS ~ Yes ~"'
BEAVER SYSTEM I~ Yes ~-~#6 :
D. PROPERTIES WITH SUMP PUMPS
When does pump run? ~ Fall ~ Summer ~ Spring ~ Winter
(check all that apply) How often does pump run?
V~here does pump discharge to outside? ~ Front ~ Back ~ Side
N S:
~~~~ N,~ ~ ~-,\/ 1 ~ S~"~" I.~ k~ ~ C. k
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SUMP PUMP SYSTEM: ~rASS Q 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 appointment.
Is there another place where clear water enters the sanitary sewer system? ~ Yes L7""1~To
Where is this location?
This area will need to be fixed so the clear water discharges to the storm sewer system.
Inspector: '"`~~ Date: ~ //- ~ y
Resident: { '~~~ Date: ~- //- q 9
Disclaimer: This visu~L inspection is done with due diligence to find obvious clear water cross-connections
and does not implv the structure meets all City Codes.
White: Homeowner Ye11ow: City Pink: HRG