HomeMy WebLinkAboutSump Pump Inspectionf
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Ins~ection Form
Name: yC~T~ ~~2V ~ ~Ur'~
Address: / 'S~~~
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Prior Lake, MN 55 3' 7~-
City of Prior Lake
Sump Pump and I/I Reduction
Phone:~Y7-Z7la 1
Date: 3- '~- 9 ~'7
Time: 2~ ) S a.
.m.
First Inspection ~ Second ~
Own: ~L-'~ Re-nt/ •~ Age of Home: / 7
Residential: G~
Non-Residential: ~
A. BASEMENT ~ Y es Q No~/
' 5UMP BASKET ~ d
~ 1 Q 2 Q 3 ~
WATER IN BASKET ~ Yes ~
No SUMP PiJ1V~P
~ 1 ~ 2 ~ 3 ~
WATER IN BASEMENT (flow over floorj O Yes 4~J'p'o CISTERN O Yes J7.~'6r
(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 O Outsid~
~~, at Inspection: ~ Floor drain ~ Other
~y.,~,; '~ ~ Priar to Ins ection:
~,~ , p
~`::~ When was system installed, or most recently modified? (Date) and why
;,~ ~~` ~ Home came with system ~ Response to inspection program Q Other
~ Water in basement ~ Previous system failed
B. ROOF LEADER5: O DISCHARGE: Q Near ~ Away
C. YARD DRAINS a Yes 0~ ~N " WINDOW WELLS ~ Yes ~ No
BEAVER SYSTEM ~ Yes F~'"No
D. :~~;:.,~ PROPERTIES WITH SUMP PUMPS
, ,'~ When does pump run? ~ Fall ~ Summer ~ Spring ~ Winter
: (check a11 that apply) How often does pump run?
V~here does pump discharge to outside? L~ Front ~ Back O Side
NOTES:
SUMP PUMP SYSTEM: ~jPASS ~ FAIL You have 30 days to bring your system into compliance with current
regulations. When you are ready for reinspection, ca[l 651/644-1469 for an pointment.
Is there another place where clear water enters the sanitary sewer system? ~ Yes ~ No
` Where is this location?
This area will need to be f~1so the ~lear water discharges to the storm sewer system.
Inspector:
Resident:
Date: :S - `~
Date:
Disclaimer: This visual inspection is done with due diligence to f'md obvious clear water cross-connections
and does not imply the structure meets all City Codes.
Yes ~'No
White: Homeowner Yellow: City Pink: HRG
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