HomeMy WebLinkAboutSump Pump InspectionO ~F PR.~p~
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City of Prior Lake
Sump Pump and I/I Reduction
Inst~ection Form
Name: ~V ~~~ ~~~''~"' Date~ `'~ g~
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Time:9SC..~. m. /p.m.
2 -'' ''~ !'~ _ First Inspect' econd ~
Address: ~JO~ ~~OS~ j'"T~ ~/~c~'' Own: Rent: ~ ge of Home:Z9
Prior Lake, MN
,~/ Residential: ~ ~
55 ~ ~~-" Phone?~ ~~ r ~-~~ Non-Residential: ~
~ v wc.~ ~c.. ~. •
A. BASEMENT s d No~ SiJMP BASKET ~~ 2 ~ 3 a
WATER IN BASKET ~ Yes o SUMP~~~ 0 O 1 ~ 2 ~~
WATER IN BASEMENT (flow over floor) ~ Yes o CI5TERN ~ Yes ~'iQo
(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 seweL Q Outside
at Inspection: ~ Floor drain ~ Other
~
Prior to Inspection:
When was system installed, or most recently modified? (Date)
B.
C.
D.
NOTES:
a Spring ta Winter
~ Back O Side
SUMP PUMP SYSTEM: ~S ~ FAIL You have 30 days to bring your system into campliance with current
regutations. When you are ready for reinspection, ca[l 651 /644-1469 for an appoi~ weC.'
Is there another place where clear water enters the sanitary sewer system? ~ Yes `~ No
Where is this location?
This area will need to ix s e clear wa di~arges to the storm sewer system.
I Inspector. '~ Date: ~- Z=r 7 I
Residen . ~ ,~ Date: 3 - Z
and why
l7 Home came with system ~ Response to inspection program ~ Other
~ Water in basement O Prev' us system failed
ROOF LEADERS: ~'1'es 17 No DI5CHARGE: ~ Near ~way
YARD DRAINS ~ Yes ~ ~o/'~ WINDOW WELLS ~ Yes ~'"No
BEAVER SYS1'EM Q Yes I~O
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 5UMP PUMPS
When does pump run? ~ Fall ~ Summer
(check all that apply) How often does pump run?
V`Fhere does pump discharge to outside? ~ Front
White: Homeowner Yellow: City Pink: HRG