HomeMy WebLinkAboutSump Pump Inspection~ ~ F PRIp
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Insnection Form
Name: f~ `~~0~ ~~~~/C-~ Dat~~~ ~ TimeJ ~~~a.m./p.m.
/ / .. First Inspe ' n I~ Second ~
Address: ~lQ~~~ `U~~~~~~~ ~/~~ Own: Rent: Age of Home: ~ ~
~/ ,.~ Residential: ~
Prior I~ake, MN 55 ~,..~~~ Phone(Y~/ ~'~~,9 Non-Residential: Q
/ l/vvV `~r~..~ rv ,
A. BASEMENT es ~ No~ SUMP BASKET ~~ 1~ 2 ~ 3 ~
WATER IN BA5KET ~ Yes o SiJMP P~ ~P 0~ 1 O 2 ~~ ~
WATER IN BASEMENT (flow over floor) ~ Yes C~J'No CISTERN ~ Yes ~To
(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 a Laundry tub d Sanitary sewe~ 17 Outside
at Inspection: ~ Floor drain ~ Other
Prior to Inspection:
When was system insta.lled, or most recently modified? (Date)
~ Home came with system
~ Water in basement
B. ROOF LEADERS:
C. YARD DRAINS
BEAVER SYSTEM
and why
~ Response to inspection program ~ Other
O Prev' `s system failed
L~~No DISCHARGE: ~ Near l~ Awa
Y
~ Yes L9-' N/o~ WINDOW WELLS ~ Yes L"~-~'o
~ Yes t~~NO
D. PROPERTIES WITH SUMP PUMPS
When does pump run? ~ Fall O Sumtner
(check all that apply) How often does pump run?
V~here does pump discharge to outside? ~ Front
NOTES:
17 Spring ~ Winter
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D Back ~.-- ~ Side
SUMP PUMP $Y$TEM: Q~TASS I~ FAIL You have 30 days to bring your system into compliance wuh current
regutadons. When you are ready for reinspection, ca[1651/644-1469 for an tntment.
Is there another place where clear water enters the sanitary sewer system? ~ Yes o
Where is this location?
This area will need to b xed.s~the clear,watex discharges 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 imulv the structure meets all City Codes. ~
City of Prior Lake
Sump Pump and I/I Reduction
White: Homeowner Yellow: City Pink: HRG