HomeMy WebLinkAboutSump Pump Inspection.~ . ..w^:: 'rn.y.:.,6, .6w ...,ere~... ,.. . ...._ .
City of Prior Lake
Sump Pump and I/I Reduction
Insuection Form
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Name: J~ ~~~'~ ~,. ~"~~ ~..5 Date:~~~~'~l TimeJ ~~~a.m./p.m.
1~ First In~spe~c Second ~
Address: ~~~ "~`' ~G~~ 7~~ ~~ Own: f9'' Re_1nt: ~~,.-' ~ge of Home:~
~.. 'dential: C~ ~
Prior Lake, MN 55 ~~Z Phone:'~~~-?7,5 ~-Residential; Q
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A. BASEMENT L~#'Yes ~ N,p/ SLTMP BASKET ~ 0~ ~ 2 ~ 3 ~
WATER IN BASKET ~~ ~ No SUMP~]L~~M~i' ~~ 1 ~ 2. Q 3~
WATER IN BASEMENT (flow over floor) Q Yes ~ CISTERN ~ Yes t~"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 ~ Laundry tub ~ Sanitary sewer ~~ Outside
at Inspection: ~ Floor drain ~ Other
Prior to Inspectio :
When wa ern installed, or most recently modified? (Date)_
ome came with system ~ Response to inspection program
~ Water in basement ~ Previous system fa'
/
and why
~ Other
B. ROOF LEADER5: ~ Yes o DISCHARGE: Q Near a Away
G YARD DRAINS Q Yes WINDOW WELLS ~ Yes Cl~~d'6~
BEAVER SYSTEM ~ Yes
D. PROPERTIES WITH SUMP PUMPS
When does pump run? ~ Fall ~ Summer ~ S~ ~ Winter
(check all that apply) How often does pump run?
V~here does pump discharge to outside? Q Front 0 Back 17 Side
NOTES:
SUMP PUMP SYSTEM: ~PASS ~ FAIL You have 30 days to bring your system into compliance with current
regulations. When you are ready for reinspection, call 651 /644-1469 for an appointmei
Is there another place where clear water enters the sanitary sewer system? Q Yes o
Where is this location~
This area will need b fi so the clear ater~acharges to the storm sewer system.
Inspector: •/~" ~''`-- Date: L' `-~ ' 7 7
Resident: x ' Date: Z. - -
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.
l~,~~iN/o
1~1~0
White: Homeowner Yellow: City Pink: HRG