HomeMy WebLinkAboutSump Pump Inspection~ .. ~ `'~ "n~ F'~,?
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City of Prior Lake
Sump Pump and I/I Reduction
ection Form
Name: S~ ~~ "'1 Date: ~- /~ -~ Time: 5~ 3~ a.m./~
First Inspection ~' Second 17
Address: ~ 5539 ~r~~a~~ ~ I1 Own: ~ Rent: ~ Age of Home:
Residential: L~'"J
Prior Lake, MN 55 3 yZ Phone:ZZb - Z36~ Non-Residential: ~
A. BASEMENT ~'Yes O No SiJMP BASKET Q 0 ~' 1, Q 2 a 3 ~
WATER IN BASKET ~s ~ No SUMP PUMP ~ 0 ~~ 2 ~,,3 O
WATER IN BASEMENT (flow over floor) ~ Yes ~o CISTERN ~ Yes L~io
(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: O Floor drain ~ Other
Prior to Inspection:
"'} ~' ~ When was system installed, or most recently modified? (Date) and why
'~' ' Q Home came with system ~ Response to inspection program ~ Other
Q Water in basement ~ Previous system failed
B. ROOF LEADERS: ~I'es ~ No DISCHARGE: Q Near Is~'Away
C. YARD DRAINS ~ Yes ~ No WINDOW WELLS ~ Yes P~No
BEAVER SYSTEM ~ Yes d No
D. PROPERTIES WITH SUMP PUMPS
When does pump run? ~ Fall ~ Summer ~ Spring a Winter
(check all that apply) How often does pump run?
V~here does pump discharge to outside? ~ Front I~ Back ide
NOTES:
SUMP PUMP SYSTEM: r~ASS ^ FAIL You have 30 days to bring your system into compliance wuh current
regulations. When you are ready,t'or reinspection, ca[l 651 /644-1469 for an appointment.
Is there another place where clear water enters the sanitary sewer system? ~ Yes Irrivo
Where is this location?
This area will need to be fixed so the clear water discharges to the storm sewer system.
Inspector: Date: 2- /~- f g
Resident: `~ Date: ~. ~ i ~- ~ ~i~~
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.
Wtiite: Homeowner Yella~: Gity Pink: HRG