HomeMy WebLinkAboutSump Pump Inspection/~
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City of Prior Lake
Sump Pump and I/I Reduction
Inspection Form ,~,~~~ ~
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Name: ~~ ~~-', Date~~ ~ Tim ~a.m./p.m.
~~ ~ ~.~-
~~ t First Insp on ~'" Second ~
Address:,~.,~~.Z~ ~.~.~~t/O V/~'lc~ ,~,lJ Own: Rent: Age of Home:~~`~
~/.y ,~'~ esidential: ~ J
Prior Lake, MN 55~.:-~ ~~-- Phone":7~/ -~ !~~ ~..-~ Non-Residential: ~
.~ !. . . _ _ i i ~
,/\.,,vw~ ~C, .c_ .
A. BASEMENT es ~ No SLTMP BASKET ~ 1 ~ 2 ~ 3 ~
WATER IN BA5KET I~ Yes o SiJMP PU,A~fP 0~ 1 ~ 2 ~ 3
WATER IN BASEMENT (flow over floor) ~ Yes L~'~1o CISTERN ~ Yes 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
at Inspection:
~
B.
C.
D.
NOTES:
~ Laundry tub ~ Sanitary sewer ~,,, ~ Outside
~ Floor drain ~ Other
Prior to Inspection:
When was system installed, or most recently modified? (Date)
~ Home came with system
l7 Water in basement
ROOF LEADERS:
YARD DRAINS
BEAVER SYSTEM
and why
~ Response to inspection program ~ Other
17 Previo ~ system failed
~/Yes ~ No DI5CHARGE: ~ Near D~'~way
~ Yes ~~'N/o ' WINDOW WELLS ~ Yes-~'No
L~ Yes ~~iVo
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? a Front ~ Back O Side
SUMP PUMP SYSTEM: lD/YASS ~ FAIL You have 30 days to bring your system into compliance wuh current
regulations. When you are ready for reinspection, ca11651/644-1469 for an ap ' ent.
Is there another place where clear water enters the sanitary sewer system? ~ Yes o
Where is this location?
This area will need to ixey~-s"e~the clear,~atey~ischarges to the storm sewer system.
Inspector:
Resident:
Date: ' - /O -
Date: _ / O -
Disclaimer: This visual inspection is done with due diligence to find obvious clear water cross-connections
and does not imnl_y the structure meets all City Codes.
White: Homeowner Yellow: City Pink: HRG