HomeMy WebLinkAboutSump Pump Inspection,~ C)
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City of Prior Lake
Sump Pump and I/I Reduction
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Insnectlon Form d ~-~ ~.~
Name: ~~~, ~~~~UU~' ~~P/1G''
Address:,~~/ 7'D ~~ ~~u~..~r s"l~o t~S Tr ~• .S~E
Prior Lake, MN 55 3 7.~ Phone: ~~~/7 3~~'7
Date: ~-~ ~j~9~ Time: ~~D a.m./p.m.
First Inspection LL~'~ Second ~
Own: ~-''~Rent: ~ Age of Home: ~~
Residential: ~""'
Non-Residential: O
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A. BASEMENT es ~ No SUMP BASKET Q 0 1 Q 2 ~ 3 ~
WATER IN BASKET f~es ~ No SiJMP PUMP ~ 0 L~1 ~ 2 ~ 3 Q
WATER IN BASEMENT (flow over floor) ~ Yes ~'1~o CISTERN C] Yes L~~o
r (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 a Laundry tub ~ Sanitary sewer I~ Outside
at Inspection: ~ Floor drain ~ Other
Prior to Inspection:
When as system installed, or most recently modified? (Date) and why
~1 Home came with system ~ Response to inspection program O Other
Q Water in basement Q Previous system failed
B. ROOF LEADERS: E~ Yes ~ No DISCHARGE: Q Near ~ay
C. YARD DRAINS ~ Yes L~"'~1o WINDOW WELLS ~" Yes ~ No
BEAVER SYSTEM ~ Yes I~i4'or
D. PROPERTIES WITH 5UMP PUMPS ~-` '
When does pump run? ~ Fall C~' Summer ~pring ~ Winter
(check all that apply) How often does pump run? /~-~ 1~~ r fi('~ ,.~S
V~here does pump discharge to outside? Q Front ack 17 Side
NOTES:
SUMP PUMP SYSTEM: PASS ~ FAIL You have 30 days to bring your system into compliance wuh current
regutations. When you are ready for reinspection, ca11651 /644-1469 for an appointmera.
Is there another place where clear water enters the sanitary sewer system? ~ Yes ~'No
Where is this location?
This area will need to be fixed so the clear water discharges to the storm sewer system.
Inspector. Date: ~-,1~/- y~
Resident: Date: ~- ~ ~/- ~
Disclaimer: This visual inspection is done with due diligence to find obvious clear water cross-connections
and does not implv the structure meets all Citv Codes.
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White: Homeowner ~;~ ,~' Yellow: City ~~ Pink: HRG