HomeMy WebLinkAboutSump Pump Inspection~F PR~o
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City of Prior Lake
Sump Pump and I/I Reduction
Insnection Form .~-~D,~~ ~-
. (~~1~~~~ f,C,E" !% ,~;~~"~.~ Tim~.~~m./p.m.
Name• , ~ .~,/ 1 ~ Date•
/,~~ , / First Inspe ' L'9' Second ~
Address: /~fp~C~ ~,//r't~ ,~~p sGt/ Own: ~~ Age of Home:~~
~/./ Residential: ~
Prior Lake, MN 55 ~~~ Phone.'Y'~` ~`~ ~~.~ Non-Residential: ~
A. BA5EMENT ~~ N SUMP BASKET ~ 0 ID/~~~2 ~ 3 a
WATER IN BASKET s~ No SUMP PUMP 0 L~•''~~ D 2 17 3~
WATER IN BASEMENT (flow over floor) a Yes CISTERN O 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 utside
at Inspection: ~ Floor drain C] Other "~J Q~E'/p ?~,~C. ~i/~
Prior to Inspection:
When was system installed, or most recently modified? (Date) ~~ ~~ d why
cAS~ ~~
~ Home came with s stem ~ Res onse to ins ection rogram ther ~ E'~
Y P P P ~m ~~ 1'
Q Water in basement ~ Prev' s system failed A
B. ROOF LEADERS: es ~ No DISCHARGE: 17 Near wa
C. YARD DRAINS ~ Yes ~~ N~ WINDOW WELLS es ~ No
BEAVER SYSTEM O Yes CYNo
D. PROPERTIES WITH 5UMP PUMPS
When does pump run? ~ Fall ~ Summer Q Spring ~ Winter
(check all that apply) How often does pump run? /~i .S /C~~~,L~~~
V~here does pump discharge to outside? L7 Front ack ~ Side
NOTES:
SUMP PUMP SYSTEM: ~PASS C] FAIL You have 30 days to bring your system into comp[iance with current
regulations. When you are ready for reinspection, ca[l 651/644-1469 for an aQpn ent.
~ there another place where clear water enters the sanitary sewer system? ~ Yes ~L~o
Where is this location?
This area will need to be d s e clear t ischarges to the storm sewer system.
~ ~~.
Inspector:
Resident:
Date: ~ i~-~'
Date: -.c:~?
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: Homeowner Yellow: City Pink: HRG