HomeMy WebLinkAboutSump Pump Inspectionb~
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~~ ~ City of Prior Lake
Sump Pump and IiI Reduction
Ins~pection Form
Name: V ~r ~ ~~rr c~ . ~~ ~ ~ ~ ~~, ~>F ~~~ Date: ~- 2 Z - ~~ Time: /? yva.mJp.m.
First Inspection Ci'~ Second ~
Address: ~ ~ 9~ ~~~ ~P~ ~ ~'~--~ Own: I~'""~2ent: ~ Age of Home: . /~y~,
Residential: C-~"' ~^
Prior Lake, MN 55 7~- Phone`. ~!~/4- ~f 7D„~ Non-ResidentiaL• ~
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A. BASEMENT Q'Yes ~ No SUMP BASKET ~ 0 PJ 1~ 2 ~ 3 O
WATER IN BASKET ~~ ~ No SUMP PUMP ~0 O 1 ~ 2 ~ 3 O
WATER IN BASEMENT (flow over floor) ~ Yes E~'N'o CISTERN O Yes t'~' ,
(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 ~ Other
Prior to Inspection: ,
When was system installed, or most recently modified? (Date) and why ~
~ Home came with system I~ Response to ;inspection program ta Other
, O Water in basement ~ Previous system failed
B. ROOF LEADERS: ~ Yes ~'1~To DISCHARGEc ~ Near ~ Away
C. YARD DRAINS ~ Yes C~ N ' WINDOW WELLS ~ Yes C~''No
BEAVER SYSTEM 17 Yes ~''1~To
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 17 Side
NOTES: ,
SUMP PUMP SYSTEM; ~SS ~ FAIL You have 30 days to bring your system into compliance wuh current
regutations. When you are ready for rein,spection, ca[1651/644-1469 for an appointment.
Is there another place where clear water enters the sanitary sewer system? ~ Yes L7''~To '
Where is this location?
This area wil o be fixed so the clear water discharges to the storm sewer system.
Inspector: (,,,/,,.,.u~ y~~ ' ~ ,n Date: 7 -..?.?- ~
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Resident: ~ ~ ~ , p~ :c y Date: ~7 - aZJ _ ~
Disclaimer: This visual inspection is done with due diligence to find obvious clear water cross-connections
and does not implv the structure meets all Citv Codes.
White: Horneqwner Yellow: City Pink: HRG