HomeMy WebLinkAboutSump Pump Inspection/ (~,r~ Q~ PRIp~'
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(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.)
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Name• , Date:~`~.>'~~ Tim~~.m./p.m.
~.-~ , -! ~'~ First In~sp~e ~' n I~ Second L7
Address: c_..~, ~'~~/ f,~O~ 7~ ~~~/~' Own: Q' Re~nt: ~~/ Age of Home~~~(
,~y ,~ ,/ / ResidentiaL• L~'" J
Prior ~.ake, MN 55 ~/,~.~ Phone~~7.~/~"L~~.c~i'i~i Non-Residential: ~
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A. BASEMENT es ~ No SUMP BASKET ~ 1 ~ 2 ~ 3 ~
WATER IN BASKET ~ Yes o SUMP~YUI~P'~ ~ 1 ~ 2~~
WAT~R IN BA5EMENT (flow over floor) ~ Yes 'l~o ~ CISTERN ~ Yes o
B.
C.
D.
NOTES:
SUMP PUMP SYSTEM: d7~ASS ~ FAIL You have 30 days to bring your system into compliance with current
regulations. When you are ready for reinspection, call 6511644-1469 for an ap ent.
Is there another place where clear water enters the sanitary sewer system? L~ Yes o
Where is this location?
This area will need to b xe~e the clear v~te~.~Cli,acharges to the storm sewer system.
Inspector:
Resident:
Discharge Point ~ Laundry tub ~ Sanitary sewer I~ Outside
at Inspection: ~ Floor drain ~ Other "
Prior to Inspection: ~
When was system installed, or most recently modified? (Date) and why
Q Home came with system ~
Q Water in basement ~ Response to inspection program ~ Other
Previous syste i ed
ROOF LEADERS: ~ Yes o DI5CHARGE: O Near ~ Away
YARD DRAINS ~ Y ~ WINDOW WELLS Q
es No Yes I~-~o
BEAVER SYSTEM ~ Yes o
City of Prior Lake
Sump Pump and I/I Reduction
Inspection Form ~,~;~~,,y
Date: ....1- .~ -
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.
PROPERTIES WITH SUMP PUMPS
When does pump run? ~ Fall ~ Summer Q Spring ~ Winter
(check all that apply) How often does pump run?
V~here does pump discharge to outside? ~ Front ~ Back Q Side
White: Homeowner Yellow: City Pink: HRG