HomeMy WebLinkAboutSump Pump Inspection\~
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City of Prior Lake
Sump Pump and I/I Reduction
Ins~ection Form
Name: ~~~..rL,p ~f'~° , ~ ~~ ~ v~
Address: ?~~J / 1 ~~,,~, ~~( ~~; .~ ;~ ~,.:; ~
Prior Lake, MN 55 :~7, Z Phone: ~/~/~ -~~~ d
Date: ,~~'- /~- ~ % Time: ~ ' ~ a.m./p.m.
First Inspection ~ Second ~
Own: I~ Rent: C] Age of Home: ~~~
Residential: L~''
Non-Residential: ~
wb l ~ ~-~-~- ~~
A. BASEMENT ~es d No SiJMP BASKET ~ 0 C~' 1 17 2 Q 3 I~
WATER IN BASKET ~ Yes ~ No SUMP PUMP ~ 0 ~~ 2 ~ 3 ~
WATER IN BASEMENT (flow over floor) d Yes L~1Qo CISTERN Q Yes G~~S
(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.)
w Discharge Point I~ Laundry tub ~ Sanitary sewer Q'Outside
at Inspection: ~ Floor drain ~ Other
Prior to Inspection: v
When was system installed, or most recently modified? (Date) 7}~+° ~~ "j and why
Q Home came with system ~ Response to inspection program ~ Other
~"'Water in basement Q Previous system failed
B. ROOF LEADERS: P~ Yes ~ No DISCHARGE: ~ Near L~'~way
C. YARD DRAINS ~ Yes C3" No WINDOW WELLS z~~' Yes ~ No
BEAVER SYSTEM D Yes l~'l~o
D. PROPERTIES WITH SUMP PUMPS ~~
When does pump run? ~ Fall I3"Summer ~pring Ca Winter
(check all that apply) How often does pump run? ~~~. v%~~ /~~w~% ~~ ~~^-~
V~here does pump discharge to outside? ~ Front Q Back ' L~-~i'tie ~
NOTES:
SUMP PUMP SYSTEM: ASS ~ FAIL You have 30 days to bring your system into comp[iance with current
regulations. 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 A-i'~~"o
Where is this location?
This area will~~:~ be fixed so the clear water discharges to the storm sewer system.
.~ , i~
I Inspector: , ~ t Date: ~-/ L- 9 9 I
Resident: ~,\ Date: r- /7 - y~
~„-~r, .,
Disclaimer: This visual inspection is done with due diligence to find obvious clear water cross-connections
and does not imply the structure meets all Cit_y Codes.
White: HomeowneF Yellow: City
Pink: HRG