HomeMy WebLinkAboutSump Pump Inspection~~ (
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C ity of Prior Lake
Sump Pump and I/I Reduction
Insnection Form
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ame. a ime .m. p.m.
._.~' ~, First Inspe,~tion [~ ~econd ~ ~
Address:~~p,~ ~'''O,~~S~~7y ~~ Own: 0'~ Rent: O Age of Home: ~E
~ /~~ ~+~r~ Residential: P~
Prior Lake, MN 5~ Phon~~'r` Non-Residential: ~ ,
~r~,..t,ic.v ~.,..~... .... •
A. BASEMENT es~_ ~~ SUMP BASKET ~~~ 1 Q 2 ~ 3 L~
WATER IN BASKET I~'i'es ~ No SiJMP P~ Q 0 ~ 1 Q 2~ ~Q ~
WATER IN BASEMENT (flow over floor) ~ Yes L~?'No CISTERN ~ Yes D~ No
(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 ~,._ 17 Outside
at Inspection: ~ Floor drain ~ Other
Prior to Inspection:
When w system installed, or most recently modi~ed? (Date) and why
'~ Home came with system Q Response to inspection program ~ Other
~ Water in basement D Previous sys m failed
B. ROOF LEADERS: ~ Yes LT No DISCHARGE: Q Near O Awa
y
C. YARI) DRAINS ~ Yes Bt'~N WINDOW WELLS CI Yes"CJ No
BEAVER SYSTEM ~ Yes Q'No
D. PROPERTIES WITH SUMP PUMPS
When does pump run? ~ Fall O Summer ~ Spring ~ Winter
(check all that apply) How often does pump run?
V~here does pump discharge to outside? ~ Front ~ Back ~ Side
NOTES:
SUMP PUMP SYSTEM: PASS ~ FAIL You have 30 days to bring your system into compliance with current
regulations. When you are ready for reinspection, ca11657/644-1469 for an ap ointment.
Is there another place where clear water enters the sanitary sewer system? ~ Yes Q'No
Where is this location?
This area will need to b ixe the clear a scharges to the storm sewer system.
Inspector; Date: - .9
Resident: _ n~ , ,~-~- Date: _. ~
Disclaimer: This visual inspection is done with due diligence to find obvious clear water cross-connections
and does not implv the structure meets all Citv Codes.
White: Homeowner Yellow: City Pink: HRG