HomeMy WebLinkAboutSump Pump Inspection~ ~~~ dF PRtp~~
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Insnection Form
Name: /`-~ C~~~•~~ Dat~~~"// Time/~ m./p.m.
/ l// /i/ ~ ~ ~~~ First Inspe ' n Q'" Second ~ • p
Address: /~~"~~' ~- ~~ ~~~~ J Own: Rent: ~ Age of Home,,~
Prior Lake, MN 5~ ~~
~/'/ ,~- Residential: ~" ~
Phone:7`"~~ ;..~2/~ Non-Residential: ~
A. BASEMENT l'~'~es ~ No, ~ SUMP BASKET l~
~0 1~ 2 ~ 3 ~
WATER IN BASKET ~ Yes A'No SiTMP P~~-~
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a"0 Q 1 ~ 21 ~~ /3 ~
WATER IN BASEMENT (flow over floor) ~ Yes
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ftO CI STERN ~ Yes C~Qo
(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 L7 Sanitary sewer ~., ~ Outside
at Inspection: ~ Floor drain ~ Other
r.
Priar to Inspection:
When was system installed, or most recently modified? (Date)
d Home came with system
O Water in basement
B. ROOF LEADERS:
C. YARD DRAINS
BEAVER 5YSTEM
and why
~ Response to inspection program ~ Other
O Prev' us system failed
E-YYes ~ No DISCHARGE: ~Near ~ Away
~ Yes CJ No WINDOW WELLS ~s ~ No
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D. PROPERTIES WITH SUMP PUMPS
When does pump run? ~ Fall ~ Summer ~~ring L7 Winter
(check all that apply) How often does pump run?
WLhere does pump discharge to outside? ~ Front I~ Sack ~ Side
NOTES:
SUMP PUMP SYSTEM: [~'" PASS ~ FAIL You have 30 days to bring your system into comp[iance with cunent
regulations. When you are ready for rein.spection, ca[l 651 /644-1469 for an ap ointment.
Is there another place where clear water enters the sanitary sewer system? ~ Yes ~]' No
Where is this location?
This area will need to b xed e clear ~pater~lischarges to the storm sewer system.
Inspector: ~ /«~" Date: ~ '..~o-'
Resident: .. AI ` /k,~.-° 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.
City of Prior Lake
Sump Pump and I/I Reduction
White: Homeowner Yellow: City Pink: ~IRG