HomeMy WebLinkAboutSump Pump Inspectiono~
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City of Prior Lake
Sump Pump and I/I Reduction
Inst~ection Form
Name: ~~' l c~ v~ ~~ r.~ ~~ a- C u~,
Address: ~G ~ ~ r ~ i / ~k,u~ ~ ~, ~p1 ~r ~. .,~ %-
Prior Lake, MN 55~_7~_ Phone: ~~/~ -~0~7 ~
Date: 1~- /~-~ 9 Time: ~.; o a.m./p.m.
First Inspection ~
Own: C~'" Rent: ~
Residential: F~"
Non-Residential: O
Second 17
Age of Home:~_
v./~. /(,~~ .~., ~ ~-~
A. BASEMENT ~.~'4'es ~ No SUMP BASKET Q 0 C~ 1 a 2 ~ 3 ~
WATER IN BASKET ~ Yes ~~ SUMP PUMP ~''6 ~ 1 I~ 2~ 3 I~
WATER IN BASEMENT (flow over floor) ~ Yes f~I'~"b CISTERN a Yes L~Fo
(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 ~oint ~ Laundry tub ~ Sanitary sewer ~ Outside
at Inspection: O Floor drain ~ Other
Prior to Inspection:
When was systern installed, or most recently modified? (Date) and why
O Home came with system Q Response to inspection program ~ Other
Q Water in basement ~ Previous system failed
B. ROOF LEADERS: ~ Yes A''~To DI5CHARGE: [~ Near ~ Away
C. YARD DRAINS ~ Yes D No WINDOW WELLS Q Yes ~o
BEAVER SYSTEM a Yes L~''l~o
D. PROPERTIES WITH SUMP PUMPS
When does pump run? l7 Fall a Summer ~ Spring ~ 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~''~AS5 ~ FAIL You have 30 days to bring your system into comptiance 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 l~i~(o
Where is this location?
This area will need to be fixed so the clear water discharges to the storm sewer system.
Inspector: ~-~._---- Date: ,S -/ 3' l 9
Resident: 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.
White: Homeowner Yellow: City Pink: HRG