HomeMy WebLinkAboutSump Pump Inspection~
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City of Prior Lake
Sump Pump and I/I Reduction
Ins~ection Form
' Name: ~~~~t~ ~ ~~C S ~,~~'
Address: /~`~~~ ~~~/~ ~~ ~ ~ ~'~=
Prior Lake, MN 55~ ~~ Phone°7"~'~`'~~~'
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Dat '/~J " ~ 9 Time!'~Q~.m./p.m.
First In~sp, ~ion L9'" ,Second 7 l
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Own: ~' Re1nt:,~ Age of Home:/
Residential: ~/ ~
Non-Residential: ~
A. BASEMENT ~,7~fes ~~F6 SUMP BAS ~ 0 ~j/`Q 2~ 3 ~
WATER IN BASKET ~Jtes ~ No SUMP P ~ 0 L~7~~1 ~ 2~ O~' L~
WATER IN BASEMENT (flow over floor) ~ Yes o CISTERN O Yes It7~IQo
(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 I~ Laundry tub ~ Sanitary sewer @'"Outside
at Inspection: L~ Floar drain Q Other
Prior to Inspection: (~ ~
When was system installed, or most recently modified? (Date) i~ nd why
~ Home came with system ~ Response to inspection program Other J t~ U-3~a Iu~
Ca Water in basement ~ Pr 'ious system failed
B. ROOF LEADERS: ~ LIYY N~ DISCHARGE: C~ Near ~Awa
~~NL ~ y
C. YARD DRAINS ~~ ~ Yes ~~ WINDOW WELLS Q Yes ~''No
BEAVER SYSTEM ~~i ~~ 17 Yes No
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D. - PROPERTIES WITH'SUMP PUMPS
When does um run? ~ Fall ~ Summer rin Winte
~ (check all that apply) How often does pump run? ~~i~ ~A/ 1J ~~~~
V~here does pump discharge to outside? ~ Front ~ Back ide
NOTES:
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SUMP PUMP SYSTEM: ~'ASS ~ FAIL You have 30 days to bring your system into compliance with current
regulations. When yod are ready for reinspectian, caU 651 /644-1469 for an ent.
Is there another place where clear water enters the sanitary sewer system? ~ Yes o
Where is this location?
This area will need to fix~b the clear~at~ti~harges to the storm sewer syster~.
Resident:
Date: '`y "~~'
Date: - /~ ~
Disclaimer: This visual inspection is done with c~ue diligence to find obvious clear water cross-connections
and does not imnlv the structure meets all Citv Codes.
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White: Homeowner Yellow: City Pink: HRG