HomeMy WebLinkAboutSump Pump Inspection`' _ ~F PRI p
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City of Prior Lake
Sump Pump and I/I Reduction
Inspection Form ~~,~~~
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Name:~~~~ ~ l~~'~ Dat ~~" ~.g Time/7~~.m./p.m.
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/~/ ~~ First In~sp~eS ~' n ~ond ~
Address:~~~~p`7` ~~~~~~*~~ ~/ Own: LzJ'` Rent: ~ Age of Home:~
~ ,, _/ '/ Residential: ~ ~
Prior~,ake, MN 55 ~~~ Phon~`~`~~~'7~ %~/ Non-Residential: ~
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A. BASEMENT es ~ No_~~ SUMP BASKET C~~"0 1~ 2 ~ 3 ~
WATER IN BASKET ~ Yes C~' N o SIJMP ~P~ [ J' 0 Q 1 ~ 2 ~ 3 ~
WATER IN BA5EMENT (flow over floor) ~ Yes Q' N o CISTERN ~ Yes ~A'1Q~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 ~ Laundry tub O Sanitary sewer ~ Outside
at Inspection: ~ Floor drain 17 Other
Prior to Inspection: /
When was system installed, or most recently modified? (Date) and why
O Home came with system Q Response to inspection program ~ Other
Q Water in basement ~ Prev' us system failed
B. ROOF LEADERS: ta'Yes ~ No DISCHARGE: ~ Near L~'Away
C. YARD DRAINS ~ Yes Q~/~~1o WINDOW WELLS Q Yes 13~~Qo
BEAVER SYSTEM ~ Yes t~NO
D. PROPERTIES WITH SUMP PUMPS
When does pump run? ~ Fall ~ Summer a Spri= ~ Winter
(check all that apply) How often does pump run?
V~here does pump discharge to outside? a Front ~ Back ~ Side
-•-•-•---•-•-•-•-•-•---•-•-•-•-------._.- -•-----•- -•-•-•-•---•---•-•-•-----•-•-----;~-~•-•-•-------•-•-•--- - -•-•-•-•-•-•-.-•-•-
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, call 651 /644-1469 for an ap ointment.
Is there another place where clear water enters the sanitary sewer system? Q Yes Q"'"No
Where is this location?
This area will need to be ed~ clear w~ di~arges to the storm sewer sysfem.
Inspector: ./"~~'' '"" ~--'"" Date: ~--~ "~ -~ - y ~
Resident: ; ,,;;_ a ~V~r~'l_ '/ Date: - /
Disclaimer: This visu 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