HomeMy WebLinkAboutSump Pump Inspection4F PRfp~
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City of Prior Lake
Sump Pump and I/I Reduction
Ins~ection Form
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Name: ~~~~~-~ lU~N/.,C~~ Dat~~/' i./ Time/~~~.mJp.m.
~~~ ~-! ~rFirst In~sp~e '°n I~ Second ~ ,,,
Address: ~~7/~~'"/L~iEi~ i~/•~i7~ ~ U~ Own: L~ Rent: ~- Age of Home:,~
,, f f~~~~ Residential: ~
Prior Lake, MN SS~~i~ Phor~.~ Non-Residential: ~
A. BASEMENT ~s ~ No ~ SL1MP BASKET L~J'0~.-~ 1 d 2 ~ 3 ~
WATER IN BASKET Q Yes o SLTMP PU1~P C~0 ~ 1 ~ 2 Q~
WATER IN BASEMENT (flow over floor) d Yes L~'1Go CISTERN ~ Yes ~Qo
(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 Q 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 Q Prev' us system failed
B. ROOF LEADER5: es Q No DISCHARGE: ~ Near ~way
C. YARD DRAINS ~ Yes Q No WINDOW WELLS ~•~'e's O/ No
BEAVER 5Y5TEM ~ Yes ~
D. PROPERTIES WITH SUMP PUMPS
When does pump run? ~ Fall ~ Summer D S~ . ~ Winter
(check all that apply) How often does pump run?
V~here does pump discharge to outside? ~ Front ~ Back ~ Side
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NOTES:
1
SUMP PUMP SYSTEM: L~SS ~ 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 appo ent.
Is there another place where clear water enters the sanitary sewer system? ~ Yes L~#""No
Where is this location?
This area will need to.~e d~,,t~ clear wat di~ges to the storm sewer system.
Inspector: • `~` ~''~ Date: ~ :
Resident: ~ , i .~~ Date: ~
Disclaimer: This isual inspection is done with due diligence to find obvious clear water cross-connections
and does not imnlv the structure meets all Citv Codes.
White: Homeowner Yellow: City Pink: HRG