HomeMy WebLinkAboutSump Pump InspectiondF PRtp
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City of Prior Lake
Sump Pump and I/I Reduction
ection Form ,~,~~J~
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Name: ~J ~~~;~~/ ~~ ~ r Date~C~ ~~~ ~~ Time ~~~a. m. /p. m.
Address:' Y~~ ~
~ ~ O~, , ~ First In~spe~c ~' Second ~ Q
~ ~~p ~7 ~~ Own. tC~ Rent. Age of Home:~p
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r~ //~ ~,y Residential: @''
Prior Lake, MN 55~ /~ Phone~~"~'~'~g~/ Non-Residential: ~
A. BASEMENT ~~ No ~ SiJMP BASKE ~ 1 17 2~ 3 ~
WATER IN BASKET Q Yes o SUMP P 0 O 1 ~ 2 d~/i7
WATER IN BASEMENT (flow over floor) ~ Yes o CISTERN ~ Yes LzJ~
(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: O 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 ~ Other
~ Water in basement ~ Previ system failed
B. ROOF LEADERS: ~No DISCHARGE: ~ Near C~-~
Y
C. YARD DRAINS ~ Yes ~~~ WINDOW WELLS es ~ No
BEAVER SYSTEM 17 Yes [S' No
D. PROPERTIE5 WITH SUMP PUMPS
When does pump run? ~ Fall ~ Summer ~ S~rin,g ~ Winter
(check all that apply) How often does pump run?
Wrhere does pump discharge to outside? O Front ~ Back ~ Side
NOTES:
SUMP PUMP SYSTEM: I~PASS ~ FAIL You have 30 days to bring your system into coinpliance with curre .
regulations. When you are ready for reinspection, ca![ 651/644-1469 jor an nhnent.
Is there another place where clear water enters the sanitary sewer system? ~ Yes No
Where is this location?
This area will need to b ed the clear ater 'scharges to the storm sewer system.
Inspector: Date:
Resident: i Date: -
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Discl ' r: ' ual ' pection is done with due diligence to find obvious clear water cross-connections
and does not imnlv t cture meets all Citv Codes.
White: Homeowner Yellow: City Pink: HRG