HomeMy WebLinkAboutSump Pump Inspection~~i' dF PRIp~
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City of Prior Lake
Sump Pump and I/I Reduction
Inspection Form ,~~,~~~'
Name: ~i~ ~~./ C.~ /~'1~;~ ~C- ~ s Dat~'~ ~~,,,/ Time%~~aa.m./p.m.
.~ ~ ~'~"
~~ p ~ J ~L~ First In~sp~e ° n 8''" Second ~ ,//
Address./~ ~ ~~~ ~~/'~~~'~.~Own: f~" Rent: Age of Home:71~ s
~/~/~y Residential: ~ ~
Prior Lake, MN 553~~ Phone)` ">` /-~i~~~ Non-Residential: ~
A. BASEMENT I~Yes ~ No~ SUMP BASKET ~ 1 ~ 2 ~ 3 O
WATER IN BASKET 17 Yes o SiTMP~~~ 0~ 1 I~ 2~ 3,, ~
WATER IN BASEMENT (flow over floor) ~ Yes o CISTERN ~ Yes ~,,P~
(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
at Inspection:
~ Laundry tub ~ Sanitary sewer ~ Outside
~ Floor drain ~ Other ~
Prior to Inspection:
When was system installed, or most recently modified? (Date)
and why
~ Home came with system ~ Response to inspection program ~ Other
~ Water in basement I~ Previous syst failed
B. ROOF LEADERS: 7 Yes L~3~'No DISCHARGE: ~ Near ~ Aw
C. YARD DRAIN5 ~ Yes E~ WINDOW WELLS eL~1~'Y s~ No
BEAVER SYSTEM ~ Yes ~
D. PROPERTIES WITH 5UMP PUMPS
When does pump run? ~ Fall ~ Summer
(check all that apply) How often does pump run?
V~here does pump discharge to outside? ~ Front
NOTES:
Q Sprin a Winter
~ Back ~ Side
SUMP PUMP SYSTEM: ~/PASS ~ FAIL You have 30 days to bring your system irao comp[iance with curr
regu[ations. When you are ready for reinspecfion, cal[ 651 /644-1469 for an ap ent.
Is there another place where clear water enters the sanitary sewer system? ~ Yes o
Where is this location?
This area will need to b ed s clear wa~di~ges to the storm sewer system.
Inspector:
Resident:'
Date: ~ ` ~ -
Date: _ 3-
Disclaimer: This visual inspe~ion is done with due diligence to find obvious clear water cross-connecNons
and does not impl_y the structure meets all Cit_y Codes.
White: Homeowner Yellow: City Pink: HRG