HomeMy WebLinkAboutSump Pump Inspection~.~;`~.~:'~~1~~
City of Prior Lake
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Name: f?n/f-,~,,r~~, ~`'.~/ ~1~~,~,E C, Date: /D //-~ ~ Time:-~'r~~.m.
~ First Ins ection ~ Second ~
Address:~~~~ ~,~-',~~i~~C.~Od~ 7~"~,~ Own~ e t: ~ Age of Home:v~3
Residential:
Prior Lake, MN 55 Phone:~~1-~7D„~' Non-Residenti 1: ~
A. BASEMENT ~ Yes No SiJMP BASKET 0 d 1 ~ 2 ~ 3 ~
WATER IN BASKET I~ Yes a No SUM P P 0 L'a 1~ O 3 ~
~~ ,,
WATER IN BA5EMENT (flow over floor) ~ Yes No 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 ~ Laundry tub ~ Sanitary sewer ~ Outside
at Inspection: O Floor drain ~ Other
Prior to Inspection:
When was system installed, or most recently modified? (Date) and why
~ Home came with system ~ Response to inspection program ~ Other
~ Water in basement ~ Previous system failed
B. ROOF LEADERS: ~ Yes No DISCHARGE: ~ Near ~ Away
C. YARD DRAINS ~ Ye No WINDOW WELLS Q Yes 1~ No
BEAVER SYSTEM ~ Yes No ~ ~
D. PROPERTIES WITH SUMP PUMPS
When does pump run? ~ Fall ~ Summer ~ Spring ~ Winter
(check all that apply) How often does pump run?
V~here does pump discharge to outside? ~ Front ~ Back O Side
NOTES:
Insnection Form
SUMP PUMP SYSTEM: l~ PASS `` ~ FAIL You have 30 days to bring your system into comp[iance with current
~~ regulations. When you are ready for reinspection, call 6511644-1 9 for an appointment.
Is there another place where clear water enters the sanitary sewer system? Q Yes No
Where is this 1 ' n?
This area ' nefd o~ ~'ixed so the cl~r w er d charges to the storm sewer system.
I Inspect ~ " Date: ~/,r} -!/''9 ~~ I
Resident: r , Date: /U - i1 - 9~
Sump Pump and I/I Reduction
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.
White: Homeowner
Yellow: City
Pink: HRG