HomeMy WebLinkAboutSump Pump Inspection~~
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Name
City of Prior Lake
Sump Pump and I/I Reduction
Inst~ection Form
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Address: ,~~,,.'~~~1 f-~~'.~/~Ort/,~ /~ / NC~
Prior Lake, MN 55 ~7~ Phone~`~''~~-~~~..~
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Date:T"~" ~i' Time~~~~a.m./p.m.
First Insp~e °on [~ Second a
Own: ~'' Rent: Q Age of Home: ~,
Residential: l~'~ ~
Non-Residential: ~
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A. BASEMENT es ~ No~ SUMP BASKET Q Q~ O 2 a 3 I~
WATER IN BASKET ~ Yes o SiTMP~ P~ P d~0 a 1 ~ 2 ~ 3 O
WATER IN BASEMENT (flow over floor) ~ Yes lA' No CISTERN a Yes II~.~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,--- I~ Outside
at Inspection: ~ Floor drain ~ Other
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Prior to Inspection:
Whe as system installed, or most recently modified? (Date) and why
Home came with system ~ Response to inspection program ~ Other
Q Water in basement ~~ Pr ~ious system failed
B. ROOF LEADERS: ~Q ~" @` Yes ~ No DISCHARGE: Q Near ~""Away
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C. YARD DRAINS ~ Yes I~~' ' WINDOW WELLS ~ Yes I~'No
BEAVER SYSTEM ~ Yes ~''No
D. PROPERTIE5 WITH 5UMP PUMPS
When does pump run? Q Falt O Summer Q Spring ~~ Winter
(check all that apply) How often does pump run?
V~here does pump discharge to outside? Q Front Q Back,- ~ Side
NOTES:
SUMP PUMP SYSTEM: PASS a FAIL You have 30 days to bring your system into compUance with cur ent
regulations. When you are ready for reinspection, call 651 /644-1469 for pointment.
Is there another place where clear water enters the sanitary sewer system? Q Yes No
Where is this location?
This area will need to fix o the clea discharges to the storm sewer system.
Inspector: Date: "
Resident: Date: " -
Disclaimer: This visual inspection is one with due diligence to- find obvious clear water cross-connections
and does not im 1 the structure meets all Cit Codes.
White: Homeowner Yellow: City Pink: HRG