HomeMy WebLinkAboutSump Pump Inspectionoti~ ~ ag PR1p
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City of Prior Lake
Sump Pump and I/I Reduction
ection Form
Name: G7l~S~~, ~~qar~,.
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Address: 3 ~ 7S ~/ht~t°h C~ `" ,
Prior Lake, MN 55 37 Z Phone:22 G-2 S~d3
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Date: 2-~"= 9~'s Time:/~'"y-~ p.m.
First Inspection 9' Second ~
Own: L~-''"Rent: ~ Age of Home:/91 /
Residential: ~~
Non-Residential: ~
A. BASEMENT fc~Yes ~ No~/ SUMP BASKET ~~~ 1 ~ 2 ~ 3 ~
WATER IN BASKET l7 Yes ~" No SUMP ~P~ P L7 0~ 1 ~ 2 ~ 3 ~
WATER IN BASEMENT (flow over floor) ~ Yes ~]' N o CISTERN ~ Yes A I~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: O Floor drain Q Other
Prior to Inspection:
When was systern installed, or most recently modified? (Date) and why
~ Home came with system ~ Response to inspection program ~ Other
~ Water in basement Q Previous system failed
B.
C.
D.
NOTES:
~ Spring ~ Winter
~ Back Q Side
SUMP PUMP SYSTEM: ~SS ~ FAIL You have 30 days to bring your system into compliance with current
regulations. When you are ready for reinspection, call 651/644-1469 for an appointment.
Is there another place where clear water enters the sanitary sewer system? Q Yes ~o
Where is this location?
This area will need to b~ fixed so the clear water discharges to the storm sewer system.
I Inspector: ,,.,r .~ l~~.c, Date: Z- 2 y- 9`~ I
Resident: 1 1,~ ~/'/T'- ~~iq,~,/'`~` Date: ~- 7-rj'7
Disclaimer: This vis inspection is done with due diligence to find obvious clear water cross-connections
and does not imnlv the structure meets all City Codes.
ROOF LEADERS: Yes ~ No DISCHARGE: ~ Near ~Away
YARD DRAINS Q Yes I~Tq WINDOW WELLS Q Yes Ll No
BEAVER SYSTEM ~ Yes I~ No
PROPERTIES WITH SUMP PUMPS
When does pump run? Q Fall 17 Summer
(check all that apply) How often does pump run?
V~here does pump discharge to outside? ~ Front
White: Homeowner Yellow: City , Pink: HRG