HomeMy WebLinkAboutSump Pump Inspection~~
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Name
City of Prior Lake
Sump Pump and I/I Reduction
Inspection Form ~n,~~ i
~~~ ~ ~SG f°'~ ~~~~'~~N Date: ~'~,5 9~ Time/~"~'~.m.ip.m.
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~ ~ First In~spe~ct° L~3~''"Second Q
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Address: ~~~18 ~L~~CI D V/ E~~ Own: ~9°" Rent: Age of Home: ~,
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~~~ ~ l~~ Residential:
Prior ake, MN 55~~~ Phone: Non-Residential: t]
A. BA5EMENT es L7~ SiJMP BASKET ~ 0~ 2 ~ 3 I~
WATER IN BASKET ~es ~ No SUMP P~ Q 0 1~ 2_ ~~'"~
WATER IN BASEMENT (flow over floor) d Yes ~'No CISTERN ~ Yes ~'No
(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; ~ Floor drain ~ Other
Prior to Inspection: y~
When was system installed, or most rec y modified? (Date) L' / r and why
~ Home came with system esponse to inspection program Q Other
~ Water in basement ~ Pre ' us system failed
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B. ROOF LEADERS: Yes O N DISCHARGE: ~ Near Away
C. YARD DRAINS Q Yes lS~~ ~ WINDOW WELL5 a Yes'B''No
BEAVER SYSTEM a Yes ~'No
D. PROPERTIES WITH 5UMP PUMPS (~ ~ ~
When does um run? ~ Fall 19' Summer Q' S rin ~ Wi
P P g
(check all that apply) How often does pump run? ~7~~ ~/ ~~~
Where does pump discharge to outside? ~ Front ack ~1 Side
NOTES:
SUMP PUMP SYSTEM: OL'~ASS ~ FAIL You have 3U days to bring your system into compliance with current
regulations. When you are ready for reinspection, cali 651/644-1469 for an intment.
Is there another place where clear water enters the sanitary sewer system? ~ Yes ~~''No
Where is this location?
This area will need to ix~ the clear ater s~rges to the storm sewer system.
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Inspector:
Resident:'
Date: 'Y-/.5 `
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 Pink: HRG