HomeMy WebLinkAboutSump Pump Inspection0
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City of Prior Lake
Sump Pump and I/I Reduction
Inst~ection Form
Name: ~~~~r`Sc1,,~ ~-~~'~''~" Date:3-/`~/-99 Time~2~',~~a.m./~
/b / ~~ ~~ / ~s~~~' /f ~ First Inspection ~ Second ~ r5
Address: ~ ~~'~ Own: I~--Rent: ~ Age of Home:2 ~
Residential: L~
Prior Lake, MN 553'72- Phone:~~7' ~~Sg Non-Residential: ~
A. BASEMENT ~es ~ No SUMP BASKET ~ 0 ~~~ 2 ~ 3 Q
WATER IN BA5KET ~ d No SUMP -PU~MP- - O 0 I?'' 1 a 2 ~ 3 a-
WATER IN BASEMENT (flow over floor) ~ Yes ~Io CISTERN ~ Yes Q.P1~'~
(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:
When was system installed, or most recentl}c-riiodified? (Date) and why
~Home came with system [a Response to inspection program ~ Other
~ Water in basement ~~ ~revious system failed
B. ROOF LEADERS: ~ Yes ~'No DISCHARGE: C! Near 17 Away
C. YARD DRAINS ~ Yes ~ WINDOW WELLS ~ Yes ~No
BEAVER SYSTEM D Yes No
D. PROPERTIES WITH SUMP PUMPS
When does pump run? L7 Fall 1~7--Snmmer ~ing O Winter
(check all that apply) How often does pump run?
V~here does pump discharge to outside? d Front I~ Back ide
NOTES:
SUMP PUMP SYSTEM: ~,PASS ~ FAIL You have 30 days to bring your system into compliance with current
regulations. When you are ready for reinspection, cal! 651/644-1469 for an appointment.
Is there another place where clear water enters the sanitary sewer system? ~ Yes ~No
Where is this location?
This area will need to b~ixed so the clear water discharges to the storm sewer system.
~ _ . _ -
Inspector:
Resident:
Date: ~- ~ q_
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