HomeMy WebLinkAboutSump Pump Inspection~F PRIp
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City of Prior Lake
Sump Pump and I/I Reduction
Insnection Form
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d Name: ~~~ ~~~ ~~C-~~~~ I' Date7`~ ~~ Time/i~a.m./p.m.
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~y ~--~ First Insp on Lz3''" Second ~
Address: ~~~~ //L~~~ ~~ ~fl'~'C Own: Rent: ~- Age of Home:~
~ ~~ ~ /Q- /,,~ Residential: ~
Prior I,,ake, MN 55 Phone. ~'y ~~ ~ Non-Residential: ~
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A. BASEMENT es ~ No_ ~ SiJMP BASKET ~~ ~ 1 0 2 ~ 3 ~
WATER IN BASKET ~ Yes G7~'No ' SiTMP~ ~P I~ 0~ 1 ~ 2~ ~~.-~ O
WATER IN BASEMENT (flow over floor) ~ Yes U No CISTERN O 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 ~ Laundry tub C] Sanitary sewer .,•~'l~ Outside
at Inspection: ~ Floor drain D Other
Prior to Inspection:
When was system installed, or most recently modi~ed? (Date)
17 Home came with system ~ Response to inspection program ~ Other
~ Water in basement a Previous syste failed
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and why
B. ROOF LEADERS: l~ Yes o DI5CHARGE: ~ Near ~ Away
C. YARD DRAIN5 ~ Yes ~ WINDOW WELLS ~ Yes [7-~~0
BEAVER SYSTEM ~ Yes L N~o /
D. PROPERTIES WITH 5UMP PUMPS
When does pump run? ~ Fall ~ Summer ~ Spr~... D Winter
(check all that apply) How often does pump run?
V~here does pump discharge to outside? ~ Front ~ Back ~ CI Side
NOTES:
SUMP PUMP SYSTEM: ~']'PASS Q FAIL You have 30 days to bring your system into compliance with current
regulations. When you are ready for reinspection, cal[ 651 /6Ad-1469 for an ntment.
Is there another place where clear water enters the sanitary sewer system? ~ Yes o
Where is this location?
This area will need to b xedlse~Re clear w~e~harges to the storm sewer syst m.
I . ~ ~c ~ ~ c - ~,__._.-~ Date: "'~` ~ `~ _ ~ y" I
Inspector:
Resident: „,~o ,c~ Date: ~,
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Disclaimer: This visual i.nspection is ~one with due diligence to find obvious clear water cross-connections
and does not imnlv the structure meets all Citv Codes.
White: Homeowner Yellow: City Pink: HRG