HomeMy WebLinkAboutSump Pump InspectionaF PRro~P
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City of Prior Lake
Sump Pump and I/I Reduction
Inst~ection Form
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~ Name: J~~C~ ~~~ r Date: /"-~'~9 Time~9~0 a.m./p.m.
-~' ~';~ ~ ,~,,First In_sp~e ° °n tYSecond C]
Address: ~~~9'~`/5.4~ ~`"Cj/.~/y ~O ~,S~C% Own: L~` Rent: Age of Home: ~ ~`
!/,/ ,/L/ Residential: ~ ~
Prior Lake, MN 55 ~~~ Phone,y'Y~ ~'~`'`~'~?` Non-Residential: ~
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A. BASEMENT es ~ No~~.-~ SiJMP BASKET ~~~ 1~ 2 ~ 3 ~
WATER IN BASKET ~ Yes D'No SiJMP -P~ I~ 0~ 1 ~ 2 ~ 3 ~
WATER IN BASEMENT (flow over floor) ~ Yes ~1VO CISTERN ~ Yes ~
(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
at Inspection:
~ Laundry tub ~ Sanitary sewer /.~7 Outside
~ Floor drain ~ Other
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Prior to Inspection:
When w system installed, or most recently modified? (Date) and why
ome came with s stem ~ Res onse to ins ection ro ram ~ Other
Y P P P g
~ Water in basement Q Pre ious system failed
B. ROOF LEADERS:
C. YARD DRAINS
BEAVER SYSTEM
~'Yes ~ o DISCHARGE: ~ Near Q Away
~ Yes ~~~ WINDOW WELLS Q Yes t~No
~ Yes CYNo
D. PROPERTIES WITH SUMP PUMPS
When does pump run? ~ Fall ~ Summer
(check all that apply) How often does pump run?
Where does pump discharge to outside? ~ Front
NOTES:
~ S~ring ~ Winter
~ Bacl~ ~ Side
SUMP PUMP SYSTEM: ~ ASS O FAIL You have 30 days to bring your system into compliance with current
regulations. When you are ready jor reinspection, ca[l 651 /644-1469 for an ent.
Is there another place where clear water enters the sanitary sewer system? ~ Yes ~~'' :~
Where is this location?
This area will need to be ed~he clear~+at~ischarges to the storm sewer system,
Inspector:
Resident:
Date:~ '~` " ~s ~-
Date: ~Yy .~ -
Disclaimer: This visual inspection is done with due diligence to find obvious clear water cross-connections
and does not imuly the structure meets all City Codes.
White: Homeowner Yellow: City Pink: HRG