HomeMy WebLinkAboutSump Pump Inspection~ /1„ ~ aF PRIp
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City of Prior Lake
Sump Pump and I/I Reduction
ction Form ~P,~-~~-
Name: ~i~ ~ ~%J~ ~/~/,~.G.Lr' ~ Date: '"~-~Time;~,~,.~~m./p.m.
-/' ~~n'~' ~''~~ First Ins~P tion ~Second 17
Address: '~,,~~.~/~/re~~~~ U~p~~ s Own: A Rent: Age of Home: ~$
'/,/ / Residential: ~ ~
Prior Lake, MN 55~~~ Phone!Y'Y ~~~~ Non-Residential: ~
~ ~,, ~ov.L, ~ ~-~... •
.
A. BASEMENT ~ Yes Ta'No/~ SiJMP BASKET ~ 1 ~ 2 ~ 3 ~
N ~ /
WATER IN BASKET Q Yes Q~Qo SiJMP _P~ 0~ 1 ~ 2 Q 3 O
WATER IN BASEMENT (flow over floor) ~ Yes C~IQo CISTERN ~ Yes ~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 Irrspection: Q Floor drain ~ Other
Prior to Inspection: r
When was system installed, or most recently modified? (Date) and why
~ Home came with system ~ Response to inspection program ~ Other
~ Water in basement ~ Previous sy em failed
B. ROOF LEADERS: ~ Yes ~YNo DI5CHARGE: ~ Near Q Awa
Y
C. YARD DRAINS ~ Yes~ WINDOW WELLS ~ Yes ~No
BEAVER SYSTEM ~ Yes L~" No
D. PROPERTIES WITH SUMP PUMPS
When does pump run? ~ Fall ~ Summer Q Spring O Winter
(check all that apply) How often does pump run? ~''
V~here does pump discharge to outside? ~ Front ~ Back O Side
NOTES:
SUMP PUMP SYSTEM: L~'ASS ~ FAIL You have 30 days to bring your system into compliance with current
regulations. When you are ready for reinspection, ca[l 651 /644-1469 for an appointment.
Is there another place where clear water enters the sanitary sewer system? ~ Yes L~''No
Where is this location?
This area will need to be ed ~e clear w~ter~charges to the storm sewer system.
Inspector:
D o~;.i o„t •
Date: /" •.:~0'
Date: / ~. ' O-
Disclaimer: This visual ins~tion is da~fne with due diligence to find obvious clear water cross-connections
and does not impl_y the'structure meets all City Codes.
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White: Homeowner Yellow: City Pink:, HRG
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