HomeMy WebLinkAboutSump Pump Inspection,~o
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City of Prior Lake
Sump Pump and I/I Reduction
Inspection Form
Name: ~-~' -~r , (~Dl,r r f` d~- / ~ ~~
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Address: ~ L~`~ 3 7,~c~~'I i? ~N ~c'p /V~
Prior Lake, MN 55 ~ 7,~ Phone: ~~-/ ~7 ~~ 7 7
Date: ~~% `~ ~ Time: 17~U a.m./p.m.
First Inspection A~Second ~
Own: L~`Rent: ~ Age of Home: „> ~
Residential: L~--~
Non-Residential: ~
~,.~~ ~ ~., ,,~.
A. BASEMENT ~ Yes ~ No SUMP BA5KET L~ 0~ 1 a 2 Q 3 ~
WATER IN BASKET ~ Yes D No SiJMP PUMP ~~ 1 ~ 2 ~ 3 ~
WATER IN BASEMENT (flow over floor) ~ Yes ~o CIST'ERN ~ Yes L~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 Q Outside
~ Floor drain ~ Other
Prior to Inspection:
When was system installed, or most recently modified? (Date) and why
a Home came with system ~ Response to inspection program a Other
~ Water in basement ~ Previous system failed
B. ROOF LEADERS: ~s d No DISCHARGE: ~ Near Away
C. YARD DRAINS ~ Yes ~10~ WINDOW WELLS ~ Yes L~'1Q~o
BEAVER SY5TEM ~ Yes i~'P~o
D. PROPERTIES WITH SUMP PUMPS
When does pump run? ~ Fall ~ Summer Q Spring L~ Winter
(check all that apply) How often does pump run?
V~here does pump discharge to outside? ~ Front ~ Back ~ Side
NOTES:
SUMP PUMP SYSTEM: ASS Q FAIL You have 30 days to bring your system into complinnce with current
regu[ations. When you are ready for reinspection, ca[l 651 /644-1469 for an appointment.
Is there another place where clear water enters the sanitary sewer system? ~ Yes A~To
Where is this location?
This area will need to be fixed so the clear water discharges to the storm sewer system.
Inspector: ~,~j /`'~T Date: ~- /- f' J
Resident: ~ Date: ~ - / - 9 9
Disclaimer: This visual inspect n is done with due diligence to find obvious clear water cross-connections
and does not imulv the structure meets all Citv Codes.
White: Homeowner Yellow: City Pink: HRG