HomeMy WebLinkAboutSump Pump Inspection~~
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City of Prior Lake
Sump Pump and I/I Reduction
Inspection Form
Name: ~~ OS~v, ~~ c~~_~`' ~, r ~~- ~ ti-,~, ~,
Address: /~~,.1' ~71~ ~-~; ~, ~r~;.~~ ~~ ~ CT
Prior Lake, MN 55~~, Phone: L~/ _,~ % U,~
Date: °~~ ~/- 9 y Time:~?° Da.m./p.m.
First Inspection Lfi`~Second ~
Own: ~Rent: ~ Age of Home;,,~~~~.
Residential: ~"
Non-Residential: ~
W a 4 ..
A. BASEMENT es No SiJMP BASKET ~`~ 1~ 2 Q 3 ~
WATER IN BASKET Q Yes L~fo SUMP PUMP Q''6~~ Q 1 ~ 2 Q 3 ~
WATER IN BASEMENT (flow over floor) d Yes 13-~0'^ CISTERN ~ Yes 13-~if~"
(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 ~ Outside
at Inspection: Q Floor drain ~ Other
Prior to Inspection:
When was system installed, or most recently modified? {Date) and why
~ Home came with system L~ Response to inspection program ~ Other
Q Water in basement I~ Previous system failed
B. ROOF LEADER5: ~ Yes Q~'No DISCHARGE: ~ Near ~ Away
C. YARD DRAINS ~ Yes C~''1~To WINDOW WEL~.S ~ Yes ~
BEAVER SYS1'EM ~ Yes ~~
D. PROPERTIES WITH SUMP PUMPS
When does pump run? ~ Fall O Summer D Spring ~ Winter
(check all that apply) How often does pump run?
V~here does pump discharge to outside? ~ Front ~ Back ~ Side
NOTES:
Inspector: Date: ~=f~ 9~
Resident: Date: ~'-//- `~'~
SUMP PUMP SYSTEM: ASS I~ FAIL You have 30 days to bring your system into comp[iance with current
reguladons. When you are ready for reinspection, cal[ 651 /644-1469 for an appointment.
Is there another place where clear water enters the sanitary sewer system? ~ Yes C-!'1~0
Where is this location?
This area will need to be ~xed so the clear water discharges to the storm sewer system.
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.
White: Homeowner Yellow: City
Pink: HRG