HomeMy WebLinkAboutSump Pump Inspection~ ~'~~~ ~F PR1p
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City of Prior Lake
Sump Pump and I/I Reduction
ction Form ,~,~~~r
Name: e'~1 ~-"~~~~~~i~/, /L.. ~c.-~~ ~~" Date~%~~'~./ Time~~i~'~"cJa.m./p.m.
/,~~ ~~~~/~~ ~~ ~,~irst Inspe ' Second I~ ,~
Address: ,~~0 Own: Rent: ~ Age of Home: ~~ '
,~ Q Residential: ~~ .
Prior Lake, MN 55 ~~~ Phone:~~~ ~~ Non-Residential: ~
~
A. BASEMENT lD~es ~ No / SUMP BASKET L~i~Q 1 d 2 O 3 D
WATER IN BASKET ~ Yes ~1Qo SUMP P ~-'~~0 ~ 1 ~ 2 ~ 3 Q
WATER IN BASEMENT (flow over floor) D Yes ~ CISTERN ~ Yes ~
(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 I~ Sanitary sewer ~,Q Outside
at Inspection: l7 Floor drain ~ Other
~ Prior to Inspection: `
When was system installed, or most recently modified? (Date) and why
~
~ Home came with system ~ Response to inspection program ~ Other
Q Water in basement 17 Previo ystem failed
B. ROOF LEADERS: e~Y"Y s Q No DISCHARGE: Q Near t]L~way
C. YARD DRAINS ~ Yes L 9' N~/' WINDOW WELLS a Yes fD~-~Qo
BEAVER SYSTEM ~ Yes ~'No
D. PROPERTIE5 WITH SUMP PUMPS
When does pump run? L7 Fall ~ Summer I~ Spring ~ Winter
(check all that apply) How often does pump run? `~''
V~here does pump discharge to outside? Q Front O Back L7 Side
NOTES:
SUMP PUMP SYSTEM: L'~~'~ASS ~ FAIL You have 30 days to bring your system into compliance with curr
regulations. When you are ready for reinspection, ca[l 651/644-1469 for an ointment.
Is there another place where clear water enters the sanitary sewer system? ~~es o
Where is this location?
This area will need to b x~ the cle~wa~ischarges to the storm sewer system.
Inspector:
Resident:
Date: ,.~ '~ ~ " ~
Date: -~~'
Disclaimer: This visual inspection is done with due diligence to find obvious clear water cross-connections
and does not impl_y the structure meets all City Codes. __ _
White: Homeowner Yellow: City Pink: HRG