HomeMy WebLinkAboutSump Pump Inspection~~ PRI p~P
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City of Prior Lake
Sump Pump and I/I Reduction
Ins~ection Form
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(~`} Name: %~i(f+~.C~i~.~O~/, ~T/i~~~c%G
Date~~--~~ ~~
~First In~sp~e 'on ~-''"Second ~ f
Address: ~~~~ ~~~~ ~~~'~ ~~ Own: [~' Rent: A e of Home •~
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Residential: ~ ~
Prior I,ake, MN 55~~~ Phone'~~~~8~ Non-Residential: ~ r
A. BASEMENT l~'es ~ No 5UMP BA5KET t~~ ~ 1 L7 2~ 3 ~
WATER IN BASKET ~ Yes 1o SUMP~ ~P_~ Q 0 ~ 1 ~ 2 C7 3~
WATER IN BASEMENT (flow over floor) ~ Yes IJ~Go 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 ~ Sanitary sewer _U Outside
at Inspection: Q 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
~ Water in basement Q Previous sy failed
B. ROOF LEADERS: ~ Yes ~ DISCHARGE: Q Near ~ Awa
Y
C. YARD DRAINS ~ Yes ~~ ~-'~~ WINDOW WEL3.S ~ Yes `C! No
BEAVER SYSTEM ~ Yes C~'No
D. PROPERTIES WITH SUMP PUMPS
When does pump run? CI Fall L7 Summer
(check all that apply) How often does pump run?
V~here does pump discharge to outside? ~ Front
NOTES:
~ Spring ~ Winter
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~ Back ~ Side
SUMP PUMP SYSTEM: L~" PASS ~ FAIL You have 30 days to bring your system into compliance with c rent
regulations. When you are ready for reinspection, cal[ 651 /64d-1469 for pointment.
Is there another place where clear water enters the sanitary sewer system? ~ Yes No
Where is this location?
This area will need to be ed~e clea~t~scharges to the storm sewer system~.
I Inspector: • '`~'`~ Date: ''r `--~ " 7y I
Resident: ~ ~,,,N ,~, ~ ~„ ~, ~ ,r\ Date: ~
Disclaimer: This visual u-spection is done with due diligence to find obvious clear water cross-connections
and does not imply the structure meets all City Codes.
;o,o J7'
Time~~ a.m./p.m.
White: Homeowner Yellow: City Pink: HRG