HomeMy WebLinkAboutSump Pump Inspection0 ~ C7~ ~F P~Io
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City of Prior Lake
Sump Pump and I/I Reduction
Inspection Form ,~,~,~~~
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Name:~~i~~~~~~ U~`~~'~~~ Date:,G'~ ~~ Time:~~~a.m./p.m.
r ~. --~' `;~ r, .~ First Inspe ' n Second ~
Address: J~~~ ~ ~~D s.> •~'. Own: Rent: ~A e of Home:~-~
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Residential: ~
Prior Lake, MN 55 ~J 7N~ Phone:~ ~c~ '„l~ ~~N~ Non-Residential: ~
, „~ ~... ~ .~., ~ .
A. BASEMENT es a No SUMP BASKET ~~ 1 ~ 2 ~ 3 ~
WATER IN BASKET Q Yes ~No / SiTMP P~~ 0~ 1 ~ 2~ ~~ ~
WATER IN BASEMENT (flow over floor) l~ Yes I~Y[Vo CISTERN ~ Yes ~9'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 ~ Sanitary sewer a Outside
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at Inspection: ~ Floor drain Q Other
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Prior to Inspection:
When was system installed, or most recently modified? (Date) and why
~ Horne came with system ~ Response to inspection program t7 Other
~ Water in basement ~ Previous system failed
OOF LEADERS DISCHARGE
Q
C
L~Y
~ N @' A
:
B. R :
s
es
No ear way
~ `'~
C. YARD DRAINS ~ WINDOW WELLS
~ Yes ~ No
Yes ~
BEAVER SYSTEM ~ Yes ~'" No
D. PROPERTIES WITH SUMP PUMPS
When does pump run? ~ Fall Q Summer ~ Spring ~ Winter
(check all that apply) How often does pump run? "
V~here does pump discharge to outside? Q Front ~ Back ~ Side
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, ca11651 /644-1469 for an iumen;.
Is there another place where clear water enters the sanitary sewer system? I~ Yes C9" No
Where is this location?
This area will need to b;ejfixed~o the clear ~rater ~issharges to the storm sewer system.
Inspector:
Resident:
Disclaimer:~'his visual inspection is done with due diligence to find obvious clear water cross-connections I
and does not imulv the structure meets all City Codes.
-t
White: Homeowner Yellow: City Pink: HRG