HomeMy WebLinkAboutSump Pump Inspectiono~ ~~~o~
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Ins~ection Form
~ Name: ~~/~~~~/~~i~ ~,./.~G' ~ Date~~~ ".~..~ Time.~'`~`°~'~.m./p.m.
~' ' ~s'~"
~, ~ ~ ~ ~ ~, ~ j ~~„ ~~ First In~s ~e n econd ~
Address: ~'y~ ~ Own: ~'' Rent: D Age of Home:~~ s
~y , , /~~r ~ ~oO Residential: ~-~''~
Prior I~ake, MN 55 ~/~' Phone:'~i~ Non-Residential: ~
A. BASEMENT E~Yes ~ No~ SUMP BASKET ~jC~ 1~ 2 O 3 ~
WATER IN BASKET ~ Yes o SUMP~~~ ~0 ~ 1 Q 2~ ~
WATER IN BASEMENT (flow over floor) ~ Yes o CI5TERN d Yes 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
at Inspection:
Q Laundry tub ~ Sanitary sewer ~„' ~ Outside
Q Ftoor drain ~ Other
Prior to Inspection:
When was system installed, or most recently modified? (Date)
I~ Home came with system
Q Water in basement
B. ROOF LEADERS:
C. YARD DRAINS
BEAVER SYSTEM
/
,9,~P'7'
and why
~ Response to inspection program ~ Other
~ Pr ous system failed
Yes ~ No DISCHARGE: ~ Near fYAway
~ Yes ~~~~ WINDOW WELLS ~ Yes LT No
~ Yes t~' 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? ~ Front
Q Spring ~ Winter
~
~ Back Q Side
NOTES:
SUMP PUMP SYSTEM: ~ SS ~ FAIL You have 30 days to bring your system into compliance with curr
regulations. When you are ready for reinspection, cal! 651/644-1469 for an a intment.
Is there another place where clear water enters the sanitary sewer system? L7 Yes o
Where is this location?
This area ~ed to be d so clear w~r d~iarges to the storm sewer system.
I Inspector:`.. ` °`~"'`"' Date: "7' = s~ ~ y' 7 I
Resident: „~ „'~ Date:
I Disclaimer: ~Jri' visual inspection is done with due diligence to find obvious clear water cross-connections J
and does not impl_y the structure meets all City Codes. ~
City of Prior Lake
Sump Pump and I/I Reduction
White: Homeowner Yellow: City Pink: HRG