HomeMy WebLinkAboutSump Pump InspectionCity of Prior Lake
Sump Pump and I/I Reduction
Ins~ection Form
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Na e: ~ ~/~. ~^w' '/~~ C L- Date: ~~~~ Time:~ .m./p.m.
/~i l ~ ~ `i/~ First I~n_s~ ~ion'~7 Second ~
Address: ,~~f `'" / ,'~~ ~~~"~ Own: ~ Rent: A e of Home:~~
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+,~y~~ l !`~~~ ~~ Residential:
Prior Lake, MN 55 ~~ Phone`7 .~.~Ton-Residential: ~
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A. BASEMENT es O No_ ~ SL1MP BASKET C~~' ~ 1 ~ 2 ~ 3 ~
WATER IN BASKET ~ Yes i~'No SUMP P Q 0 t] 1~ 2 O~ ~
WATER IN BASEMENT (flow over floor) ~ Yes [IL~ CISTERN ~ Yes ~ No
(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 d Laundry tub ~ Sanitary sewe,~ ~ Outside
at Inspection: ~ Floor drain ~l Other
B.
C.
D.
Prior to Inspection: ~
When was system installed, or most recently modified? (Date) and why
~ Home came with system a Response to inspection program ~ Other
~ Water in basement ~ Prev' s syst failed
ROOF LEADERS: ~' Yes ~ o DISCHARGE: ~ Near way
YARD DRAINS ~ Yes Cl N~-''~~ WINDOW WELi.S ~ Yes ~,,1~Ft~
BEAVER SYSTEM ~7 Yes L'~'No
PROPERTIES WITH SUMP PUMPS
When does pump run? ~ Fall Q Summer ~ Spring
(check all that apply) How often does pump run?
Where does pump discharge to outside? ~ Front ~,.~,ack
NOTES• ~~~ '' l /~'~~i~~--•-A-~ ~•~C-~•---•--
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SP~C ~ A L~-l~'~'aS ~,eo~.c, fl~-1 o m~
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SUMP PUMP SYSTEM: ~~ASS Q FAIL You have 30 days to bring your system into compliance with current
regulations. When you are ready for reinspection, ca[1651 /644-1469 for an appointi t!
Is there another place where clear water enters the sanitary sewer system? I~ Yes 4~'IQo
Where is this location?
This area will need to be ed clear wate is~rges to the storm sewer sy~m. _
. ._ r,
Inspector: /'~~:.....~ . (1~,/~'T-`,'~ ~ _ `'"~ Date: J ' ~ ~ "
Resident: ; - _ .,. .. ~ .~ . Date: - / -
Disclaimer: This visual inspection is done with due diligence to find obvious clear water cross-conneetions
and does not imply the structure meets all City Codes.
~ Winter
White: Homeowner ~ Yellow: City Pink: HRG