HomeMy WebLinkAboutSump Pump Inspection~
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City of Prior Lake
Sump Pump and I/I Reduction
Ins~aection Form
Name: ~~,t P ~-2 ~, ~ ~r 7~> ~
Address: ..~ l y~` G~ r~, ~1-~ ~//7. N~/
Prior Lake, MN 55 3 71 Phone: y`/7- 3 3 ~S
Date: ~^- :~'`»
Time: yl c/~a.m./p.m.
First Inspection ~ Second ~
Own: C~1'" Rent: CI Age of Home:~
Residential: C~'
Non-Residential: ~
~p ~ ~a T
A. BASEMENT es ~ No SUMP BASKET ~~ 1 ~ 2 l7 3 L~
WATER IN BASKET 17 Yes ~ No SiJMP PUMP ~0 Q 1 ~ 2 ~ 3 Q
WATER IN BASEMENT (flow over floor) ~ Yes ~Qo CI5TERN ~ Yes ~iQ"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
at Inspection:
~ Laundry tub
Q F1QOr dra~n
~ Sanitary sewer Q Outside
~ Other
Prior to Inspection:
When was system installed, or most recently modified? (Date) and why
~ Home came with system ~ Response to inspection program ~ Other
O Water in basement ~ Previous system failed
B. ROOF LEADERS: 0''~Yes 17 No DISCHARGE: Q Near L~Away
S(21
C. YARD DRAINS ~ Yes L~''~io WINDOW WELL 0'~i'es ~ No
BEAVER SYSTEM 17 Yes ~"1Vo
D. PROPERTIES WITH SUMP PUMPS
When does pump run? ~ Fall ~ Summer O Spring O Winter
(check all that apply) How often does pump run?
V~here does pump discharge to outside? ~ Front ~ Back O Side
NOTES:----~~~-----{~ ~i ~- ~c c~. ~.l~ ~- D ~ * r ~t-7` 1~<- ~ , ~` il ._._._._._._._._.---•-•-
T.~fi c~ .'H v''/ (r~l'~-- f"'
SUMP PUMP SYSTEM: ~ YASS ~ FAIL You have 30 days to bring your system into complianct with current
regularions. When you are ready for reinspection, ca11651 /644-1469 for an appointment.
Is there another place where clear water enters the sanitary sewer system? ~ Yes C-F-'i~To
Where is this location?
This area will need to be fixed so the clear water discharges to the storm sewer system.
Inspector: -~ Date: - +F' 79'
Resident: Date: .S = ~~~5
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