HomeMy WebLinkAboutSump Pump Inspectione~
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City of Prior Lake
Sump Pump and I/I Reduction
Insnection Form
Name: ~~ ~'S, ~ v ~ .L~~~i~1 ~- A~,-~q
Address: )J!7 ~„3 ~ ~~N~ V~~~+ Tc'1~ NW
Prior Lake, MN 55 ; 7~ Phone: ~/D ~~/~~ D
Date: r- ~ o- 9 9 Time: /~/~l>` a.m./p.m.
First Inspection C~ Second ~
Own: I~-" Rent: ~ Age of Home: 1~
Residential: C~
Non-Residential: ~
~~ ~K~ ~~
A. BASEMENT es ~ No SUMP BA5KET ~ 0 C~ 1~ 2 O 3 ~
WATER IN BASKET Q Yes t~'l~f~o SUMP PUMP I~0 ~ 1 ~ 2 L~ 3 Q
WATER IN BASEMENT (flow over floor) ~ Yes ~1o CISTERN ~ 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 a Sanitary sewer ~ Outside
at Inspection: ~ Floor drain ~ Other
Prior to Inspection:
When was system installed, or most recently modified? (Date) and why
O Home came with system ~ Response to inspecti on program ~ Other
~ Water in basement CI Previous system failed
B. ROOF LEADERS: Cf Yes I~ No DISCHARGE: O Near ~ay
C. YARD DRAINS ~ Yes C-!''No WINDOW WELLS ~ Yes C~''No
BEAVER SYSTEM ~ Yes C~~Ffo
D. PROPERTIES WITH SUMP PUMPS
When does pump run? ~ Fall ~ Summer ~ Spring ~ Winter
(check all that apply) How often does pump run?
Where does pump discharge to outside? ~ Front ~ Back O Side
NOTES:
SUMP PUMP SYSTEM: ~ASS ~ FAIL You have 30 days to bring your system into compliance with current
reguladons. When you are ready for reinspection, ca11651 /644-1469 for an appointment.
Is there another place where clear water enters the sanitary sewer system? Q Yes Q"~o
Where is this location?
This area will need to be fixed so the clear water discharges to the storm sewer system.
Inspector: Date: ,S- 2 0- 99
Resident: Date: ~' = Z o- g~
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 ~ e low: City Pink: HRG
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