HomeMy WebLinkAboutSump Pump Inspection; ~ a~ ~R~o~
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City of Prior Lake
Sump Pump and I/I Reduction
Inspection Form ~~~~-
Name:~r~,~~ ~ ~J~7•~~
Address:~~~~ ~~~J~ ~~ ~~ ~~
Prior La}ce, MN 55~/~ Phone:'~'~` /' 7"~~~
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Dat :~~'~ TimeY~~a.m./p.m.
First In~sp~e ' n l~~''~Second ~1 ~
Own: t9' Rent: Age of Home:~ `~
Residential: ~ ~/
Non-Residential: ~
,
A. BASEMENT es I~ No ~ SUMP BASKET , ~ ~ 1 ~ 2 ~ 3 ~
WATER IN BASKET ~ Yes C9'No SiJMP P~ ~P ~ 0 ~ 1 ~ 2_ a~ ~
WATER IN BASEMENT (flow over floor) ~ Yes CJ'No CISTERN [7 Yes ~'No
(If no pump, place aticker 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 a Sanitary sewer ~ Cl Outside
at Inspection: ~! Floor drain ~ Other
Prior to Inspection: -~''""~
When was system installed, or most recently modified? (Date) and why
~ Home came with system ~ Response to inspection program ~ Other
~ Water in basement ~] Previous sy em failed
B. ROOF LEADERS:
C. YARD DRAINS ~
l7 Yes ~ DISCHARGE: 17 Near
Yes WINDOW WELLS ~ O Awa
Y
Yes i3'No
BEAVER SYSTEM a Yes o
D. PROPERTIES WITH SUMP PUMP5
When does pump run? O Fall ~ Summer O Spring ~ Winter
(check all that apply) How often does pump run? ~"'"'~
Vl~here does pump discharge to outside? ~ Front O Back ~ Side
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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, call 651 /644-1469 for an ent.
Is there another place where clear water enters the sanitary sewer system? ~ Yes E~':~
Where is this loeation?
This area will need to fix,~so the cl~ar ~a,ter discharges to the storm sewer system.
Inspector:
Resident:
Date:
Date:
Disclaimer: T~P`is visual inspection is done with due diligence to find obvious clear water cross-connections
and does not imnlv the structure meets all Citv Codes.
S
White: Homeowner Yellow: Ciry Pink: HRG