HomeMy WebLinkAboutSump Pump Inspection, ~ 1 pF PRIp
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Inspection Form ,~P,~- ~
Name: ~,~.5'~~.~.~ ~Q~~~ ~ Date~--~ ~~-~.1 Time~'7~~a.m./p.m.
.--~ ~~ ~~J First In~sp~`tion Second ~
Address: ~~~ ~~J~'.~/~d.~cJti/ ~~.~~ Own: IJ' Rent: Age of Home: ~~
: // , Residential: ~ ~,
Prior Lake, MN 55 ~~~ Phone'7`"~~~'`~~~ Non-Residential: ~
A. BASEMENT i~es ~ 5UMP BASKE ~ 0 la 1~ 3 L~
WATER IN BA5KET es ~ No 5IJMP P ~ 0 O 1 ~ O
WATER IN BASEMENT (flow over floor) ~ Yes o CISTERN O Yes ~
~
(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 utside
at Inspection: O Floor drain ~ Other
Prior to Inspection: /~/'o'e ~~ ~ "' ~~ ~ rN C7 "o ~
When was s stem installed, or most recently modified? (Date) and why
C] me came with system ~ Response to inspection program a Other
Water in basement 17 Pr ous system failed
I~~''~~ o DISCHARGE: ~ Near ~-~"wa
B. ROOF LEADERS: ` es y
p N ..~
C. YAR.D DRAINS~~~ ~ es L'a N~ WINDOW WELLS O Yes o
BEAVER SYSTEM 0 ~ Yes ~~~iVo
IE Q~L~ ~ , ~
D. PROPERT 5 T SUMP PUMPS
When does pump run? ~ Fall ummer rin ~ Wi ter
(check all that apply) How often does pump run? ~~~E~ ~A/ ~~i/'~~
Where does pump discharge to outside? ~ Front Q Back i e ~o T~
NOTES: ~.--- _
SUMP PUMP SYSTEM: ~'ASS ~ FAIL You have 30 days to bring your system into compliance with current
regu[ations. When you are ready for reinspection, ca11 651 /644-1 469 for an appo' ent.
Is there another place where clear water enters the sanitary sewer system? Q Yes o
Where is this location?
This area will need to be f' s~o,t~ clear w~er ~arges to the storm sewer system.
Inspector:
Resident:
Date: ...~ ' ~
Date: ~
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.
City of Prior Lake
Sump Pump and I/I Reduction
White: Homeowner Yellow: City Pink: HRG