HomeMy WebLinkAboutSump Pump Inspection~~
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~~ ~ City of Prior Lake
Sump Pump and I/I Reduction
Ins~ection Form ,~ ~
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Name: ~~9u~ ~~~-.P~a
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Address: ~/S~d ~ o r~s S~• /V ~
Prior Lake, MN 55,..~ 7'~ Phone: ,~a.? G-o?.~;-~
Date: (-.2 ~/- ~~ Time: 69U ~ a.m./p.m.
First Inspection L3~ Second ~
Own: A''-Rent: ~ Age of Home:,? ~/
Residential: Q'`
Non-Residential: O
t~/., ~G r
A. BASEMENT es ~ No SUMP BASKET ~~ 1 ~ 2 ~ 3 ~
WATER IN BASKET ~ Yes ~ No SiJMP PUMP l3'0 O 1 ~ 2 ~ 3 ~
WATER IN BASEMENT (flow over floor) ~ Yes ~'1Qo CISTERN ~ Yes A-~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 ~ Sanitary sewer ~ Outside
~ 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. ROOF LEADERS: ~s ~ No DISCHARGE: ~ Near L~-~way
C. YARD DRAINS ~ Yes ~'1~o WINDOW WELLS ~s Q No
BEAVER SYSTEM ~ Yes L~"No
D. PROPERTIES WITH SUMP PUMPS
When does pump run? ~ Fall O Summer ~ Spring ~ Winter
(check all that apply) How often does pump run?
V~here does pump discharge to outside? ~ Front ~ Back Q Side
NOTES:
SUMP PUMP SYSTEM: ~''~ASS ~ FAIL You have 30 days to bring your system into compliance with current
regulations. When you are ready jor reinspection, cal[ 651/644-1469 for an appointment.
Is there another place where clear water enters the sanitary sewer system? ~ Yes L~'"l~o
Where is this location?
This area will need to be fixed so the clear water discharges to the storm sewer system.
Inspector: Date: ~
Resident: ~, ~~ ~ ~M ~,,,., ~ _ Date: /, - ~ y -
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