HomeMy WebLinkAboutSump Pump Inspectiono~ (~1 aF PRro~
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(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.)
Name: ~"1hf'~ ~°~ , ~o~~Y~ Date: S' ~~' ~~ Time:y~a.m .m.
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f~,/ ~ 6 ,+~5~ o ~~n-~- ~~n S~ First Inspection ~ Second ~_
Address: i~ ~ Own: C~-'Rent: ~ Age of Home:~ 9S `~
Residential: 13~-
Prior Lake, MN 5537~ Phone:~/~~3 Non-Residential: ~
A. BASEMENT I~'Yes ~ No~ 5iJMP BASKET ~ Off]] 1~ 2 ~ 3 ~
WATER IN BA5KET ~ Yes o SUMP PUMP L~0 ~ 1 ~ 2 ~ 3 D
WATER IN BASEMENT (flow over floor) ~ Yes ~ CISTERN ~ Yes r7-Pd'6~
Discharge Point
at Inspection:
B.
C.
D.
NOTES:
SUMP PUMP SYSTEM: ~ASS ~ FAIL You have 30 days to bring your system into compliance with current
regulations. When you are ready for reinspection, ca[! 657/644-1469 for an appointment.
Is there another place where clear water enters the sanitary sewer system? Q Yes ~l~io
Where is this location?
This area wi11 need to be fixed so the clear water discharges to the storm sewer system.
Inspector: Date: 3- y- ~~
Resident: % ` Date:
Disclaimer: This visual inspection is done with due diligence to find obvious clear water cross-connections
and does not imulv the structure meets ~il City Codes.
City of Prior Lake
Sump Pump and I/I Reduction
Ins~ection Form
Q Laundry tub ~ Sanitary sewer ~ Outside
~ Floor drain Q Other
Prior to Inspection:
When was system installed, or most recently modified? (Date)
~ Home came with system
~ Water in basement
ROOF LEADERS:
YARD DRAINS
BEAVER SYSTEM
and why
~ Response to inspection program ~ Other
~ Previous system failed
~ Yes ~''No , DISCHARGE: ~ Near a Away
~ Yes Q~No/ WINDOW WELLS ~ Yes I~d~ No
~ Yes
PROPERTIES WITH SUMP PUMPS
When does pump run? ~ Fall ~ Summer ~ Spring ~ Winter
(check all that apply) How often does pump run?
V~here does pump discharge to outside? ~ Front ~ Back L7 Side
White: Homeowner Yellow: City Pink: HRG