HomeMy WebLinkAboutSump Pump InspectionZ S~C~ C i 2 I
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City of Prior Lake ~~
Sump Pump and I/I Reductic~n
Insnection Form ~--~
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Name: /'~/~~ ~~' ~~~~ ~ Date:~"~6"~ ~ Time:1~'y~a.m./p.m.
'~~ First In~sp~e 'on Q~ Second Q
Address: ~~3~~ ~'C;C: ~~~ ~-~i N7'~S ~~2. Own: f~ Rent: C/a Age of Home: ~~
Residential: ~Y'" ~
Prior Lake, MN 55 ~~2 Phone:~`~~-~ `~Zv Non-Residential: Cl
~, v w z ~c,. ~. .
A. BASEMENT Yes ~ No /"'~ SiJMP BASKET Q 0 Q 2 Q 3 O
WATER IN BASKET O Yes L9~i~o SUMP PUM~i ~ 1 O 2~
WATER IN BASEMENT (flow over floor) ~ Yes ~~~~ 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 se,y~--- ~ Outside
at Inspection: ~ Floor drain ~ Other
Prior to Inspection: ~'"~
When wa stem installed, or most recently modified? (Date) and why
Home came with system 17 Response to inspection program ~ Other
Q Water in basement ~ Prev' system failed
('~ ,r ~ ~1 ~,,•~ ~.-~~
B. ROOF LEADERS:Y~~ Yes Q No DISCHARGE: ~ Near L4'~~way
C. YARD DRAINS ~ Yes ~~''N~~ WINDOW WELLS ~ Yes ~O
BEAVER SYSTEM ~ Yes ~''No
D. PROPERTIES WITH SUMP PUMP5
When does pump run? ~ Fall ~ Summer ~ Spr~ ~ Winter
(check all that apply) How often does pump run?
V~here does pump discharge to outside? ~ Front D Back ~ Side
NOTES:
SUMP PUMP SYSTEM: C~!''PASS ~ FAIL You have 30 days to bring your system into compliance with current
regulations. When you are ready for reinspection, caU 651 /644-1469 for appointment.
Is there another place where clear water enters the sanitary sewer system? ~ Yes No
Where is this location?
This area will need t fi o the clea at~ischarges to the storm sewer system.
Resident: f
Date: Z - ~ 6
Date: L - / 6
Disclaimer: This visual inspection is done with due diligence to find obvious clear water cross-connections
and does not imulv the structure meets all Citv Codes.
White: Homeowner Yellow: City Pink: HRG