HomeMy WebLinkAboutSump Pump Inspection`\Q aF PRIo~P
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City of Prior Lake
Sump Pump and I/I Reduction
Insnection Form
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Name: _~~-`~ r~ `t ~~ ~~~~~~~r Date: ~~ ~~~ `~ J Time: ~J~`~~ a.m.ip.m.
First Inspection ~Second D
Address: ...~ f ~-~ ~ r ~ ~ ~h (' / ~'. /U ~/ Own: ~ Rent: ~ Age of Home:~ ~
Residential: ~'''
Prior Lake, MN 55 ~ ~~ Phone: ~f`/~~- ~/~.~.~. Non-Residential: ~
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A. BASEMENT l~'Yes 17 No SUMP BASKET C~ 0~ 1 ~ 2 d 3 ~
WATER IN BASKET ~ Yes a No 5UMP PUMP ~0 ~ 1 D 2 ~ 3 ~
~W~ATER IN BASEMENT (flow over floor) ~ Yes L~(o CISTERN 17 Yes D~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 ~ Laundry tub ~ Sanitary sewer ~ Outside
at Inspection: ~] Floor drain ~ Other
Prior to Inspection:
When was system installed, or most recently modified? (Date) and why
~ Home came with system ~ Response to inspection program ~ Other
~ Water in basement ~ Previous system failed
B. RQOF LEADER5: Q~Yes C7 No DISCHARGE: ~Near O Away
C. YARD DRAINS ~ Yes 13''No WINDOW WELLS C~ Yes ~ No
BEAVER SYSTEM ~ Yes I~'No
D. PROPERTIES WITH SUMP PUMPS
When does pump run? Ca Fall 17 Summer
(check all that apply) How often does pump run?
Where does pump discharge to outside? ~ Front
NOTES:
C? Spring Q Winter
Q Back ~ Side
SUMP PUMP SYSTEM: PASS I] FAIL You have 30 days to bring your system into compliance with current
regutadons. When you are ready for reinspection, catl 651 /644-1469 for an uppointment.
Is there another place where clear water enters the sanitary sewer system? I~ Yes ~'1~To
Where is this location?
This area will need~¢~ e_fixed so the clear water discharges to the storm sewer system.
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Inspector:
Resident:
Date: ~ - X'
Date: { - ! ~
Disclaimer: This visual inspection is done, with due diligence to find obvious clear water cross-connections
and does not implv the structure meets all Cit_y Codes.
White: Homeowner Yellow: City
Pink: HRG