HomeMy WebLinkAboutSump Pump Inspection (2)~ ~ aF R~o
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City of Prior Lake
Sump Pump and I/I Reduction
ection Form
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Name: (.,~~/`~~~O~t/ ~~i~.~ic,l ~ Date:~%~-~" ime/~-3~m./p.m.
l~~ ~~ First In~s~p~e ~' n~'" Second ~
Address: /~~~D~ ~~~~~//~~ ~~~ Own: 19'°" R~ent: /~ Age of Home:1~
,J,/ ,` Residential: (Q~" ~
Prior Lake, MN SS~~Z Phone:7`'Y ~'~`~~~ Non-Residential: ~
. ~ _
~„ vw~ ~ ~,. <
A. BASEMENT es ~ No~ SiJMP BASKET ~ 0 ~ 2 ~ 3 ~
WATER IN BASKET ~ Yes o SUMP~N~~ 0 Q 1 ~ 2 ~ 3
WATER IN BASEMENT (flow over floor) ~ Yes o 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 sew,~., ~ Outside
at Inspection: ~ Floor drain Q Other
Prior to Insp tion:
When ystem installed, or most recently modified? (Date) and why
Home came with system ~ Response to inspection program ~ Other
~ Water in basement O Previous syste ailed
R R5: ~ Y ~~'~ DISCHARGE: ~ Near ~ Awa
B. OOF LEADE es y
C. YARD DRAINS ~ Yes f~~~~~'~N ~ WINDOW WELLS ~ Yes o
BEAVER SY5TEM O Yes [~No
D. PROPERTIES WITH SUMP PUMPS
When does pump run? ~ Fall ~ Summer O~Sgr'ing ~ Winter
(check all that apply) How often does pump run?
V~here does pump discharge to outside? O Front ~,~ctc~k ~ Side
NOTES:
SUMP PUMP SYSTEM: I~ASS ~ FAIL You have 30 days to bring your system into complianc~ with current
regulations. When you are ready for ~einspection, ca11651/644-1469 for an appo' .
Is there another place where clear water enters the sanitary sewer system? I~ Yes o
Where is this location?
This area will need to be d s clear wat~r dis~arges to the storm sewer system.
Inspector: , ~"' ~-~''" Date: ~ %~ ~ '
Resident: .~. o ~ l Date: ~~.~.~
Disclaimer: This visual inspe ti n is done with due diligence to find obvious clear water cross-connections
and does not imUly the structure meets all City Codes.
White: Homeowner Yellow: City Pink: HRG