HomeMy WebLinkAboutSump Pump Inspection~ ~~ a~ PRIO~
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City of Prior Lake
Sump Pump and I/I Reduction
Name: ~~~~~~.~/
Inspection Form ~~,~ J~
~0~~~~ Dat~~7'~~ Tim~~Qa.m./p.m.
.y r' ,./ ~ ~~ First In~spe,~c ' ~~ond ~
Address:~~ / ~~~~~1/f~0~ ~/,~', Own: ~ Rent: Age of Ha
~yr~~ ~ ~y Residential: ~
Prior Lake, MN 55~/.~`4' Phone:~~~r `~~~ Non-Residential: ~
~-~/c~U.c.., ~c' ~--
A. BASEMENT es ~ No / SiJMP BASKET ~ 0 ~ 2 ~ 3 ~
WATER IN BASKET ~ Yes L~~o SUMP_.P~~ ~ 1 D 21 ~~ ~
WATER IN BASEMENT (flow over floor) ~ Yes ~'RO CI5TERN ~ Yes L~NO
(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:
Prior to Inspection:
,p,,,~Vhen as systern installed, or most recently modified? (Date) ~' and why
L9' Home came with s stem C~ Res onse to ins ection ro ram ~ Other
Y P P P g
~ Water in basement C7 Prev'ous system failed
B. ROOF LEADERS: I~Yes ~ No DISCHARGE: ~ Near ~~way
C. YARD DRAINS ~ Yes Q~'~N~'~ WINDOW WELLS ~ Yes I~'No
BEAVER SYSTEM L7 Yes C9'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? la Front
NOTES:
D Spring ~ Winter
.+^'"
~ Back D Side
SUMP PUMP SYSTEM: l7'PASS ~ FAIL You have 30 days to bring your system into compliance with current
regulations. When you are ready jor reinspection, cal[ 657/644-1469 jor an appointmera.
Is there another place where clear water enters the sanitary sewer system? Cl Yes e''No
Where is this location?
This area will need to b e the clear ater ' charges to the storm sewer system.
.
Inspector:
Resident:
Date: ~ ""7-
Date: --~
Disclaimer: This visual inspection is done with dae diligence to fmd obvious clear water cross-connections
and does not imply the structure meets all City Codes.
~ Laundry tub ~ Sanitary sewer ~ Outside
C7 Floor drain ~ Other ~-f""
White: Homeowner Yellow: City Pink: HRG