HomeMy WebLinkAboutSump Pump Inspection~ ~~ ~~ PRIp~P
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City of Prior Lake
Sump Pump and I/I Reduction
Inspection Form ,~p~Jr'
Name: ~/t''j~/~'~.~~7 ~J uN Date~"~~ - ~9Time:~/ ~~a.m./p.m.
~ First Insp~e ~' lJ'' Second Q
Address: ~~~~~ ~~~~-~/~D~'~ ~~~- Own: @'" Rent: 0 ge of Home: ~
~/./ Residential: Q/~
Prior Lake, MN 55 ~~~ Phone: T'`~'0 ~~~g Non-Residential: ~
~ .
A. ~ BASEMENT ~es ~ No 5IJMP BASKET ~ 0 ~ 2 O 3 O
WATER IN BASKET ~ No SiJMP C~ 17 1~ 2~
WATER IN BASEMENT (flow over floor) Q Yes o CI5TERN ~ 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 I~ Laundry tub d Sanitary sewer ~ Outside
at Inspection: ~ Floor drain ~ Other "''"~
Prior to Inspection: ~
When w system installed, or most recently modified? (Date) and why
~ Home came with s stem ~ Res onse to ins ection ro ram ~ Other
Y P P P g
O Water in basement O Previous syste ailed
B. ROOF LEADERS: O Yes ~ o DISCHARGE: ~ Near ~ Away
[9-
C. YARD DRAINS ~ Yes Q'" N WINDOW WELi,S ~ Yes [9-~~0
BEAVER SYSTEM ~ Yes o
D. PROPERTIES WITH SUMP PUMPS
When does pump run? a Fall ~ Summer ~ S~r' g ~ Winter
(check all that apply) How often does pump run?
V~here does pump discharge to outside? Q Front ~ B,ac~- ~ Side
NOTES:
SUMP PUMP SYSTEM: RY!'ASS ~ FAIL You have 30 days to bring your system into compliance with current
regulations. When you are ready for reinspection, call 6511644-1469 for an app ent.
Is there another place where clear water enters the sanitary sewer system? ~ Yes ~L~'ta o
Where is this location?
This area will need to be e o he clear ate~lischarges to the storm sewer system.
Inspector: /'~`'" '""'^ Date: .~ '/~ - y'7
Resident: Date: ~- b-
Disclaimer: This visual inspection is done with due diligence to find obvious clear water cross-connections
and does not implv the structure meets all Citv Codes.
White: Homeowner Yellow: City Pink: HRG