HomeMy WebLinkAboutSump Pump Inspection0
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Name:
City of Prior Lake
Sump Pump and I/I Reduction
Ins
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ection Form
Address: ~,~~' ~ `7 ~5~4~ ~ 1~; r,/ ~,(} N ~.J
Prior Lake, MN 55 ~ 7~ Phone: ~/ ~- 6 6a,? D
Date: ,~ /,~, -~ y Time: J?D a.m./p.m.
First Inspection 13'~ Second ~
Own: L~' Rent: ~ Age of Home:~~
Residential: L~-
Non-Residential: ~
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A. BASEMENT es ~ No SiJMP BASKET ~~ 1 ~ 2 ~ 3 ~
WATER IN BASKET ~ Yes Q No SUMP PUMP C-#~b ~ 1 CI 2~ 3 ~
WA1'ER IN BASEMENT (flow over floor) ~ Yes I~Q"o CI5TERN ~ Yes ~-#b
(If no pump, place sticker across edge of sump cover and basement floar 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:
When was system installed, or most recently modified? (Date) and why
O Home came with system ~ Response to inspection program Q Other
~ Water in basement 17 Previous system failed
B. ROOF LEADERS: ~es ~ No DISCHARGE: C~" Near O Away
C. YARD DRAINS ~ Yes C~''No WINDOW WELLS ~ Yes ~''l~o
BEAVER SYSTEM ~ Yes L~~Q"o
D. PROPERTIE5 WITH 5UMP 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 Q Back ~ Side
NOTES:
5UMP PUMP SYSTEM: SS ~ FAIL You have 30 days to bring your system into complitutce with current
regulations. When you are ready for reinspection, call 651 /644-1469 for an appointment.
Is there another place where clear water enters the sanitary sewer system? ~ Yes C~-~o
Where is this location?
This area will need to be fixed so the clear water discharges to the storm sewer system.
Inspector: -z f. Date: _.,; - /,3 ' ~ y
Resident: Date: ~"- 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.
White: Homeowner Yellow: City Pink: HRG