HomeMy WebLinkAboutSump Pump InspectionO F PR,o
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City of Prior Lake
Sump Pump and I/I Reduction
Insuection Form
Name: ~~~' ~' ~ ~ ~- ~f ~ ~t
Address: /r~~9~ L-G~iS~c~e ~dr. ~~
Prior Lake, MN 55 ~ Phone: ~"/ ~'/U ~ 7~ t/ ~
Date: 7-/- 79 Time: ~?o a.m./p.m.
First Inspection ~7'' Second ~
Own: ~-" Rent: ~ Age of Home: /~I,
Residential: ~'"
Non-Residential: ~
I/~Jy. f ({ pw"f` /
A. BASEMENT ~s ~ No Si1MP BASKET O 0 C~1' 1~ 2 O 3 O
WAT'ER IN BASKET Q Yes ~ SiJMP PUMP ~'°6 ~ 1 ~ 2 O 3 ~
WATER IN BASEMENT (flow over floor) ~ Yes L~Y1Q'o` CI5TERN ~ Yes ~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
at Inspection:
~ Laundry tub ~ Sanitary sewer ~ Outside
a Floor drain d Other
Prior to Inspection:
When was system installed, or most recently modified? (Date) and why
~ Home came with system ~ Response to inspection program a Other
C] Water in basement ~ Previous system failed
B. ROOF LEADERS: a' es Q No DISCHARGE: •~" Near O Away
C. YARD DRAINS ~ Yes L~''~1o WINDOW WELLS ~ Yes ~o
BEAVER SYSTEM ~ Yes I~To
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 ~ Back ~ Side
NOTES:
SUMP PUMP SYSTEM: I~ASS ~ FAIL You have 30 days to bring your system into compiiance with current
regu[ations. When you are ready for reinspection, call 651 /644-1469 for an appoinrmenr.
Is there another place where clear water enters the sanitary sewer system? ~ Yes t3''1~To
Where is this location?
This area will need to be fixed so the clear water discharges to the storm sewer system.
Inspector: Date: - /- 9 9
Resident: ~- ~ Date: ~- /- 9y"
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: Homeawner Yellow: City ,_ = Pink: HRG