HomeMy WebLinkAboutSump Pump Inspection~
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City of Prior Lake
Sump Pump and I/I Reduction
Inspection Form ,~~,~~-
Name: ~Q/~/D~d~ ~.J~'.~.1 ~• Date~ _7''~~ Tim~9~~m./p.m.
~~' ~~ First In~spe~ct' ~ L~'~ Second Q
Address:~~~~~~~~~~~~~~~ Own: 19~Rent: Age of Home~~~
/~~/,~ Residential: ~ ~-
Prior La~ce, MN 55 ~..2~~ Phone: 7"y'v "~~~~ Non-Residential: ~
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A. BASEMENT es ~ No ~ SUMP BA5KET 0/Q 1 L7 2 O 3 O
WATER IN BASKET ~ Yes o 5iJMP~PLT t~0 Q 1 Q 2 ~~-f7
WATER IN BASEMENT (flow over floor) ~ Yes o CISTERN ~ Yes L~'l~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: Q Floor drain O 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 ~ Previ s system failed
B. ROOF LEADERS: es O No DISCHARGE: Q Near ~''Away
C. YARD DRAINS ~ Yes WINDOW WELLS ~ Yes O~No
BEAVER SYSTEM ~ Yes o
D. PROPERTIES WITH SUMP PUMPS
When does pump run? Q Fall ~ Summer
(check all that apply) How often does pump run?
V~here does purnp discharge to outside? ~ Front
NOTES:
~ 5pring,_. ~ Winter
~ Baclr~ ~ Side
SUMP PUMP SYSTEM: ~' ! ASS ~ FAIL You have 30 days to bring your system into compliance with current
reguladons. When you are ready for reinspection, ca[[ 651 /644-1469 for an intment.
Is there another place where clear water enters the sanitary sewer system? ~ Yes C9' No
Where is this location?
This area will need to b ixed~set'~ie clear }~ateyd~scharges to the storm sewer system.
I Inspector: • .r "'""r ~ -~----~-"" Date: ~ ' "`7`_ ~'"5' I
Resident: ~ '~^ ~,.,,, _ ~...... Date:
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
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