HomeMy WebLinkAboutSump Pump Inspection.;: . , . t.
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Insuection Form
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~~' Name• ~~ ~ , ~~~~ Dat ~~ ~~ Time~~o m./p.m.
~ ~~ S~ First Inspection d"'~~ ond ~ ,~f
Address ~~~~ ~~'-E,C.ti/ /~.G~/~ h~ '7'"~S Own: ~ Rent: ~Age of Home: - 7 a,
,/./ Residential: a ~
Prior Lake, MN 55 ~/~~.% Phone'~`'`~ ~~' 'r'~~ ~~ Non-Residential: ~
A. BASEMENT ~s ~ No~ SiTMP BAS 17Y6/C~ 1 C] 2~ 3 ~
WATER IN BA5KET t7 Yes o SUMP P ~~0 ~ 1 ~ 2~
WATER IN BASEMENT (flow over floor) 17 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 ~ Laundry tub ~ Sanitary sewer ~ Outside
at Inspection: ~ Floor drain ~ Other ''~
Prior to Inspection: """"
When was systern installed, or most recently modified? (Date) and why
Q Home came with system
O Water in basement
B. ROOF LEADERS:
C. YARD DRAINS
BEAVER SYSTEM
~ Response to inspection program ~ Other
~ Pre ' us system failed
es ~ No DISCHARGE: ~ Near AL~~"" wa
Y
Q Yes ~~ WINDOW WELLS Q Yes ~'No
~ Yes C~ 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? O Front
NOTES: -•---•-•-•---•-•-•-•-•-----•-•-•-•-•-•--~-,--•---•-•-•-•-•-•-•--
~ Sp~ ~ Winter
~ Bacl~- ~ Side
SUMP PUMP SYSTEM: ~ASS ~ FAIL You have 30 days to bring your system into compliance with cur
regulations. FVhen you are ready for reinspection, cal[ 651 /644-1468 for an inEment.
Is there another place where clear water enters the sanitary sewer system? Q Yes No
Where is this location?
This area will need to ixed~sa'~[he clear~er ' arges to the storm sewer system.
Inspector:~'`~ ,
Resident: ~~
Date: ..~ '-~ ~'
Date: - oZ -
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.
City of Prior Lake
Sump Pump and I/I Reduction
White: Homeowner Yellow: City Pink: HRG