HomeMy WebLinkAboutSump Pump InspectionCity of Prior Lake
Sump Pump and I/I Reduction
Insnection Form
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Name~~~~~~~~, (..~ ~n~~~0~ Date: ~ 2~/ Time~'/ Qaa.m./p.m.
,
,~/ oO ~ ~~ D~ First Ins ~e~c i,~o ~cond ~
Ad re • 7 ~ ~ '~ ~ ~ ~ ~ ~ ~~ Own• ~~~''Rent: ~~'" A e of Home: ~
d ss. -`-L . g
- 2.7 ~~p `~~3 ~ Residential: Ctl./'~
Prior Lake, MN 55..~ ~-- Phone: Non-Residential: ~
A. BASEMENT ~ Yes ~i~o~ 5iJMP BASKET t9~'0~~'l 1~ 2 ~ 3 O
WATER IN BASKET I~ Yes o SUMP P ~0 ~ 1 ~ 2_~_ ~ ~3
WATER IN BASEMENT (flow over floor) O Yes o CISTERN ~ 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 ~ Sanitary sewer A~ Outside
~ Floor drain ~ Other
Prior to Inspection: "'''
When was systern installed, or most recently modified? (Date)
~ Home came with system ~ Response to inspection program ~ Other
~ Water in basement ~ Previo ystem failed
and why
B. ROOF LEADERS: DISCHARGE: ~ Near ~y
C. YARD DRAINS WINDOW WELi.S O Yes L~1Vo
BEAVER SYSTEM ~ Yes o
D. PROPERTIES WITH SUMP PUMPS
When does pump run? Q Fall ~ Summer O Spring ~ Winter
(check all that apply) How often does pump run? ~~
V~here does pump discharge to outside? a Front ~ Back C] Side
,.-~--
NOTES:
SUMP PUMP SYSTEM: L~'ASS ~ FAIL You have 30 days to bring your system into compliance with current
regulations. When you are ready for reinspection, call 651/644-1469 for an appo' .
Is there another place where clear water enters the sanitary sewer system? ~ Yes o
Where is this location?
This area will need to b e e clear ~er ~charges to the storm sewer system.
Inspector:
Resident:
Date: 3 ` 2 -
Date: -~
Disclaimer: This visual inspection is done with due diligence to find obvious clear water cross-connections
and does not im 1 the structure meets all Cit Codes.
es ~ No
~ Yes ~YZVo
White: Homeowner Yellow: City Pink: HRG