HomeMy WebLinkAboutSump Pump Inspection~D
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City of Prior Lake
Sump Pump and I/I Reduction
Ins~ection Form
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Name: //'o d rP~ ~`~~~,~-. y~ ~~ r~ ~"`"'~ K Date: 7/-~ q Time: ~'~0 a.m./p.m.
J First Inspection 0''"~ Secand Q
~~ Address: ~`~~~D ~or dS .S"~ ,~,~ Own: [~Rent: ~ Age of Home:~~G ~S•
Residential: ~''"
Prior Lake, MN 55 ..37a Phone: '~~`~y7~ r~'?` l Non-Residential: ~
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~i~~i~ ~~ct.
A. BASEMENT ~ Yes o SUMP BASKET ~ 0 ~'`1 I~ 2 D 3 ~
WATER IN BASKET ~ Q No SIJMP PUMP ~ 0 ~~ 2 O 3 ~
WATER IN BA5EMENT (flow over floor) D Yes ~3~1Q"o CI51'ERN l~ Yes ~To
(If no pump, place sticker aeross edge of sump cover and basement floor so any removal of cover will
break seal. Skip to Part B of this form.)
Discharge Point O Laundry tub Q Sanitary sewer C7~Outside
+ at Inspection: ~ Floor drain ~ Other
Prior to Inspection:
When was system installed, or most recently modified7 (Date) and why
~ L~l Home came with system I~ Response to inspection program ~ Other
~ Water in basement ~ Previous system failed
B. ROOF LEADER5: CJ'" Yes ~ No DISCHARGE: ~ Near C~'"Away
C. YARD DRAINS L7 Yes ~o WINDOW WELLS O Yes C-I"'~
BEAVER 5YSTEM ~ Yes ~'1~o r
D. PROPERTIES WITH SUMP PUMPS ,~-~
When does pump run? O Fall C~ummer ~ring ~ Winter ~,.
(check all that apply) How often does pump run? ,~-~'~tr ~i~; ~.: ~ ~H ~ e P'`' ~' ° u
V~here does pump discharge to outside? ~ Front Back A~-Sidc
NOTES:
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SUMP PUMP SYSTEM: L~ PAS5 ~ FAIL You have 30 days tobring your system into compliance with current
regu[ations. 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 Q' No
Where is this lacation?
This area will need to be fixed so the clear water discharges to the storm sewer system.
Inspector. Date: 7'- l^ y y'
Resident; ,~ 1~ ~.. Date: ~"- f~ 9p
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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