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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/~ 1'~~, /~ 7~~'~c~ ~' Date~~~'7' ~~Tima! 7"'_"/Ja.m./p.m.
,~;. /9 ~~ ~,.~,0~ 7,. ~ / + ~~ First Insp~ec ' n ~Second ~
Address: ~~+..~ "7~ ~t~ Own: L~!'` Rent: ~ Age of Home:
~/, ~, Residential: L~~
Prior Lake, MN 55~ /~ Phone: Non-Residential: ~
A. BASEMENT la Yes da'14o~/ SIJMP BASKET ~~` ~0,~-~1~ 2 ~ 3 L~
WATER IN BASKET O Yes @'No SiJMP P l3'"0 Q 1 ~ 2~ Q ~3
WATER IN BASEMENT (flow over floor) ~ Yes Q~[U4~ ISTERN ~ Yes ~-I~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; I~ Floor drain ~ Other --
Prior to Inspection: ~
When was system installed, or most recently modified? (Date) and why
Q Home came with system a Response to inspection program a Other
Q Water in basement Q Previous system failed
B. ROOF LEADERS: ~ Yes 17~~'No DISCHARGE: ~ Near ~ Away
C. YARD DRAINS O Yes [~~~N -~ WINDOW WELLS O Yes [~~o
BEAVER SY5TEM ~ Yes I~No
D. PROPERTIES WITH SUMP PUMPS
When does pump run? ~ Fall ~ Summer ~ Spring ~ Winter
(check all that apply) How often does pump run? ''~
V~here does pump discharge to outside? ~ Front ~ Bc3e~c ~ Side
NOTES: -•-•- ----~/`'E ~~j" ~O '~---•-•-----•-•-----------•-•---•-•---•-•-----•-•---•-•-•-•-•-•-•---•---•-•-
.c..-~
SUMP PUMP SYSTEM
Is there another place wY
Where is this location?~/
This area will need to b~
I Inspector: ~~'"Q .
Resident:
~ASS ~ FAIL You have 30 days to bring your system into compliance with current
regulations. When you are ready for reinspection, cal! 6511644-1469 for an appo~ nt.
clear water enters the sanitary sewer system? Q Yes ~'''N o
the storm sewer system.
Date: ,,.,~ ;,G'`y'- 7"7
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 Fink: HRG