HomeMy WebLinkAboutSump Pump Inspection~~ aF PRIo~,
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City of Prior Lake
Sump Pump and I/I Reduction
ection Form ,~,~,~ ~
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Name: , ~ Dat~ 7 ~ Tim~~~~a.m./p.m.
--~ ~i ~~ First Inspe ' n L~J'" Second ~
Address: ~~~~,,~~~ ~7~ (.r~~ Own: Rent: Age of Home: ~~~
jJ/ ,/ Residential: ~ ~
Prior Lake, MN 55 ~~!`~ Phon~"~` ~~~~,,,~Non-Residential: ~
vw~ iG f- ~ A
A. BA5EMENT es a No SiJMP BASKE ~ 1 2~ 3 ~
WATER IN BASKET ~ Yes o SUMP P 0~ 1 ~ 2~ ~
WATER IN BASEMENT (flow over floor) ~ Yes o CI5TERN ~ Yes o
(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 L~ Outside
at Inspection: ~ Floor drain ~ Other ~
Prior to Ins tion: `~`~
When w system installed, or most recently modi~ed? (Date) and why
ome came wit~i system ,~ Response to inspection program ~ Other
O Water in basement ~I Prev' system failed
B. ROOF LE DE . Y~N DISCHARGE: ~ Near Ql.PcaGa
A RS• y
C. YARD DRAINS ~ Yes N WINDOW WELLS ~ Yes L4~''No
BEAVER SYSTEM Q Yes ~
D. PROPERTIES WITH SUMP PUMPS
When does pump run? ~ Fall ~ Summer ~ Sprin~ ~ Winter
(check all that apply) How often does pump run?
V~here does pump discharge to outside? 17 Front ~ Bacl~ ~ Side
- --•-•-•-•- - qS ~ '~ -•-~--~ ~: -~,,•- ~ j ~ C ----•-•-•-•-•-•-----------•-•-•-•-------•-•-------~-•-
NOTES: E
! ~ - ~S7 ~ ,
SUMP PUMP SYSTEM: ~ ASS ~ FAIL You have 30 days to bring your system into comp[iance with current
regulations. When you are ready for reinspection, ca[l 651 /644-1469 for an ~ntment.
Is there another place where clear water enters the sanitary sewer system? ~ Yes C~''No
Where is this location?
This area will need to b ed~s~Pie clear ~ter~charges to the storm sewer system.
Inspector: , -~~" `~-----"''" Date:
Resident: ~c. L . ~ . -~..,~~,.....~~~f. ~ Date:
Disclaimer: This`vfsual inspection is done with due diligence to find obvious clear water cross-connections
and does not implv the structure meets all City Codes.
White: Homeowner Yellow: City Pink: HRG