HomeMy WebLinkAboutSump Pump Inspection^`p OF PRIp~
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City of Prior Lake
Sump Pump and I/I Reduction
ection Form
Name: ~ur~~U~, ~.:~~~t-~ -~ M~~, (~~ Date: 6~~/~` yy Time:/y~~a.m./p.m.
First Inspection L~Second ~
Address: ~, J ~f ~/ ~~' ~ l~~--~ .; !, . ~r~ 7~ /~'_FOwn: ~'" Rent: O Age of Home: .~c~ ~r~i~~ 1f
^ Residential: L~ i~ /~q~
Prior Lake, MN 55 ~ 7~ Phone: ~~L/7- ~/dPd/ Non-Residential: ~
~Ar~r~~ r
A. BASEMENT C~Yes Q No 5iJMP BASKET ~~~~~ 1 ~ 2 ~ 3 17
WATER IN BASKET 17 Yes ~ No SUMP PUMP C3 0~ 1 ~ 2 ~ 3 O
WATER IN BASEMENT (flow over floor) ~ Yes 1~io CISTERN ~ Yes C~#'1Q~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 O Sanitary sewer O Outside
at Inspection: ~ Floor drain ~ Other
Prior to Inspection:
When was system installed, or most recently modi~ed? (Date)
~ Home came with system
~ Water in basement
B. ROOF LEADER5:
C. YARD DRAINS
BEAVER SYSTEM
and why
~ Response to inspection program Ca Other
l7 Previous system failed
~rf;~,l
~~Yes I~ No DISCHARGE: Near ~ Away
~ Yes C'~ No WINDOW WELLS ~ Yes ~~10
~ Yes A'~No
D. PROPERTIES WITH SUMP PUMPS
When does pump run? ~ Fall ~ Summer f~ Spring ~ Winter
(check all that apply) How often does pump run?
ViFhere does pump discharge to outside? ~ Front ~ Back O Side
NOTES:
SUMP PUMP SYSTEM: PASS ~ FAIL You have 30 days to bring your system into compliance with eurrent
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 ~No
Where is this location?
This area will need to be ~xed so the clear water discharges to the storm sewer system.
Inspector: ~ Date: /~' ~ j `1
Resident: Date: /, /~ - y ~
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.
White: Homeowner Yellow: City Pink: HRG