HomeMy WebLinkAboutSump Pump Inspectionr` aF PRIp
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City of Prior Lake
Sump Pump and I/I Reduction
Inspection Form ,~~,~'~
Name: ~~~ ~~.~~~~ ~..~~, ~~~~~Date:~ ~" ~ Time~~`~~a.m./p.m.
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,~ !~/~ Op /J ~'~First In~sp~e~c ' l~ Second D /y
Address: ~~ ,~ ~~ ~ ~ C.•~~ Own: L~J'" Rent: ~ ge of Home: /~
,~y '/ Residential: ~ ~
Prior Lake, MN 55 ~/~~ Phone ~'~`~ ~~'~ ~ Non-Residential: ~
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A. BASEMENT es ~ No SiJMP BASKE ~ 0 1~ 2 ~ 3 ~
WATER IN BASKET a Yes o SUMP P Q 1 ~ 2_ O /3 ~~~
WATER IN BASEMENT (flow over floor) a Yes o CISTERN a 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
at Inspection: ~
~ Laundry tub
Floor drain ~ Sanitary sewer Q
~ Other ~ Outside
Prior to I ction: "~
When s system installed, or mo st recently modi~ed? (Date) and why
Home came with system L7 Response to inspecti on program O Other
~ Water in basement ~~ Prev' system fail
B. ROOF LEADERS: L~~No
~ , ~
C. YARD DRAINS ~ Yes L9
'
N~~ ed
DISCHARGE: O Near
WINDOW WELi.S ~
wa
y
Yes No
BEAVER SYSTEM ~ ~
,
Yes [9~No
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
Q Spring ~ Winter
~ Back ~ Side
NOTES: /
SUMP PUMP SYSTEM: I~ASS ~ FAIL You have 30 days to brirtg your system into compliance with curr
regulations. When you are ready for reinspection, cal! 651/644-1469 for an nt.
Is there another place where clear water enters the sanitary sewer system? Ca Yes o
Where is this location?
This area will need to x~he clea~at~scharges to the storm sewer system.
Inspector: • ~' ~ ""` Date: .,a - ~G -
Resident: _ ~ ra tiA ~, v.c.- ~ 1 u -_ Date: -~.~-
Disclaimer: This visual inspeetion is done with due diligence to find obvious clear water cross-connections
and does not imply the structure meets all City Codes.
White: Homeowner Yellow: City Pink: HRG