HomeMy WebLinkAboutSump Pump InspectioniT ~~
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(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.)
Name: ~"~fS4~ ~C~~"~~ r~
Address: ~ ~ ~ `~ /'~A n ~ ~ou ~r~
Prior Lake, MN 55 372 Phone: 1,1y7- y S~ 9
Date: '3~' ~~J Time://.~p~'~/p.m.
First Inspection Q'' Second D
Own: C3'" Rent: ~ Age of Home: /9~ o
Residential: ~
Non-Residential: ~
A. BASEMENT C~'Yes ~ No SUMP BASKET (a~~'" ~0r 17 1 Q 2 CI 3~
WATER IN BASK~~- ~ Yes ~0 5IJMP PUMP. @"0 ~ 1 ~ 2~ d ~3 O
WATER IN BASEI~ENT (flow over floor) ~ Yes ~ CISTERN ~ Yes f~No
Discharge Point
at Inspection:
B.
C.
D.
NOTES:
City of Prior Lake
Sump Pump and I/I Reduction
Ins~ection Form
~ Laundry tub ~ Sanitary sewer Q Outside
~ Floor drain ~ Other
Prior to Inspection:
When was system installed, or most recently modified? (Date)
C7 Home came with system
Q Water in basement
ROOF LEADERS:
YARD DRAINS
BEAVER SYSTEM
and why
~ Response to inspection program ~ Other
~ Previous system failed
A'Yes Q No DISCHARGE: 17 Near Pd'~~way
~ Yes ~~~ WINDOW WELLS ~ Yes ~ No
L7 Yes o
PROPERTIE5 WITH SUMP PUMPS
When does pump run? l7 Fall ~ Summer
(check all that apply) How often does pump run?
Wl~ere does pump discharge to outside? ~ Front
SUMP PUMP SYSTEM: ~,~'~ASS ~ FAIL You have 30 days to bring your system into compliance with current
regulations. When you are ready for reinspection, ca11 651 /644-1 469 for an appointment.
Is there another place where clear water enters the sanitary sewer system? ~ Yes ~Qo
Where is this location?
This area will need to be~'ixed so the clear water discharges to the storm sewer system.
Inspector:
Resident:
Date: 3 :Y -
Date:
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.
~ Spring ~ Winter
~ Back Q Side
White: Homeowner Yellow: City Pink: HRG