HomeMy WebLinkAboutSump Pump Inspectionr~~ ~ ~F PRIp~,~
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City of Prior Lake
Sump Pump and I/I Reduction
ection Form ,~,~,~J r~
Name: ~ ~iV~~~ ~~ ~~ /" Date~~~°3'a~ Timel/ ~~.m./p.m.
,"~ ~~~•E'~SJD~ irst Inspe~c ' ~ ~ Second Q
Address:~(~o ~ ~/C.~~ Own: ~'" Rent: Age of Home:~~
`/.` ,/ Residential: ~
Prior Lake, MN 55 ~~~ Phone`:~`'Y ~'~`~~~/ Non-Residential: ~ ~
A. BASEMENT C~''~Yes ~ No~ ~ SiJMP BASKET 1~ 2 ~ 3 ~
WATER IN BASKET ~ Yes CD~Qo SUMP ~P~ 0~ 1 Q 2~ ~~ ~
WATER IN BASEMENT (flow over floor) ~ Yes ID~No CI5TERN ~ Yes Q'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 L~ Laundry tub ~ Sanitary sewer ~17 Outside
at Inspection: ~ Floor drain ~ Other
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Prior to Inspection: ~
When was systern installed, or most recently modified? (Date) and why
~ Home came with system ~ Response to inspection program ~ Other
Q Water in basement d Pre 'ous system failed
B. ROOF LEADER5: ~Yes L7 No DISCHARGE: ~ Near ~w y
C. YARD DRAINS O Yes WINDOW WELLS m~Yes Q No
BEAVER SYSTEM ~ Yes o
D. 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? ~ Front ~~k O Side
NOTES:
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SUMP PUMP SYSTEM: I~/~ASS D FAIL Ynu have 30 days to 6ring your system inro compliance wuh curr nt
regu[ations. When you are ready for reinspection, cal[ 651/644-1469 for an ointment.
Is there another place where clear water enters the sanitary sewer system? Q Yes No
Where is this location?
This area will need to be fi so~'~lear water~d'ischy~xges to the storm sewer system.
Inspector: i ~""'"`'`'` ` Date: .~'~~'~ ~
Resident: ~ z--, ~"` x.~.. __ _~ 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
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