HomeMy WebLinkAboutSump Pump InspectionCity of Prior Lake
Sump Pump and I/I Reduction
Ins~ection Form
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_ / ~
Name: ~ 0~~ ~~'~~~'~-~ , ~ ~'~ Dat~ `~~- ~ ~ TimeJ ~~"'a.m./p.m.
Address: ~~ ~ /
Prior Lake, MN
"~ ~ First In~spe~,c,~ion ~--~cond ~
~~s ~~~ ~/~ Own: f~'" Rent: ~ e of Home:
~y yy,~V ~S~ Residential:
/~Phone: Non-Residential: ~
~ ~.,~~."~,, ~ ~
A. BASEMENT es a No /~ SiJMP BASKET 0,,.~ 1~ 2 3~
WATER IN BASKET (7 Yes ~~l~o SiJMP ~PUM~ ~~ 1 ~ ~ 3 ~
WATER IN BASEMENT (flow over floor) ~ Yes [IL~"o CISTERN es ~ No
(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 17 Outside
~ Floor drain ~ Other ~
Prior to Inspection:
When was system installed, or most recently modified? (Date) and why
~ Home came with system ~ Response inspection program ~ Other ~
~ Water in basement ,, ~ Prev' s system failed
B. ROOF LEADERS: /r D Yes O No DISCHARGE: ~ Near ~way
~ ~ ~,,~''~
C. YARD DRAINS ~ Yes o WINDOW WELLS ~ Yes CY~Qo
BEAVER SY5TEM d Yes ~
D. PROPERTIES WITH SUMP PUMPS
When does pump run? ~ Fall ~ Summer
(check all that apply) How often does pump run?
V~here does pump discharge to outside? ~ Front
NOTES: ,,% _ _ _
O Spring ~ Winter
~
~ Back ~ Side
SUMP PUMP SYSTEM: ~/~ASS ~ FAIL You have 30 days to bring your system into compliance with current
regulations. When you are ready}'or reinspection, ca[l 651/644-1469 for an appo ent.
Is there another place where clear water enters the sanitary sewer system? ~ Yes E~~Vo
Where is this location?
This area will need to be ed clear wat dis rges to the storm sewer system.
Inspector: 1~~~~„~;
Resident: ,~ ~-,c~,~, ,
Date:
Date:
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.
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White: Homeowner Yellow: City Pink: HRG