HomeMy WebLinkAboutSump Pump Inspection,;~,
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City of Prior Lake
Sump Pump and I/I Reduction
ection Form ,,,~~,~-~~
Name: ~.J ~- ~~ l ~ ~~ ~`-'!~'~ /l ~ Date: /`"~~~'~~Time:~ .m./p.m.
// ~y / f~ ,~~~ First Insp~e 'on ~'' Second ~
Address: /(O~/ ~ NO~~ ~~~~ -~/~ Own: L~1' Rent: Age of Home:~
~y ~/,/ L//1Zesidential: ~ ~
Prior Lake, MN 55 ~/~ Phone:'Y'Y ~~'7 ~c~ Non-Residential: ~
/LCJGV~'~, !\
A. BASEMENT es ~ No ~ SUMP BASKET t7 0 ~ 2 ~ 3 ~
WATER IN BASKET ~ Yes ~,P~ f SiTMP P~ 0~ 1 ~ 2 ~ 3 ~
WATER IN BASEMENT (flow over floor) ~ Yes ~-IQo CISTERN l7 Yes L'9~Go
(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 ~,~,..L~ Outside
at Inspection: ~ Floar drain ~ Other
Prior to Inspection: ''~
When was system installed, or most recently modified? (Date) and why
O Home came with system ~ Response to inspecti on program a Other
~ Water in basement ~ Previous sys failed
B. ROOF LEADERS: ~ Yes L~M'~ DISCHARGE: ~ Near ~ Awa
Y
C. YARD DRAINS ~ Yes Q
'N
~` WINDOW WELLS ~ Yes ~o
BEAVER SYSTEM ~ ~
,,
Yes D~No
D. PROPERTIES WITH SUMP PUMPS
When does pump run? ~ Fall ~ Summer ~ Spring Q Winter
(check all that apply) How often does putnp run?
V~here does pump discharge to outside? ~ Front ~-~ac~C ~ Side
NOTES:
SUMP PUMP SYSTEM: ~SS ~ FAIL You have 30 days to bring your system into compliance with current
reguladons. When you are ready jor reinspection, ca116571644-1469 for an appointment.
Is there another place where clear water enters the sanitary sewer system? Q Yes L~'~
Where is this location?
This area will need to be e~he~lear v~ate~charges to the storm sewer system.
I Inspector: o ~---- Date: /' ~~' 77 I
Resident: ~ Date: /-
-~ v
Disclaimer: This visual inspection is done with due diligence to find obvious clear water cross-connections
and does not imnlv the structure meets all Citv Codes.
White: Homeowner Yellow; City Pink: HRG