HomeMy WebLinkAboutSump Pump Inspection~ ~ ~,~ PRIp~
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City of Prior Lake
Sump Pump and I/I Reduction
Inst~ection Form
Name: ~~ , ,~'~~~~ # ~ f~~~° t! _l~~ ~
Address: l~/ `~' ~~ -7 ~~>H r~o~. l~ 7~ /1,iG
Prior Lake, MN 55 l 7~ Phone: t/~~ ~_ ~~~ ~
Date: r- ?~-`~'1 ~ Time: pd a.m./p.m.
First Inspection C~ Second ~
Own: C~'~ Rent: Q Age of Home:~;~
Residential: t~'
Non-Residential: ~
t./U /Gt «~ t /
A. BASEMENT tt~"~es ~ No 5UMP BASKET ~ 0 Q 1 ~ 2 Q 3 ~
WATER IN BASKET ~ Yes ~ No SUMP PUMP ~~ 1 Q 2 d 3 ~
WATER IN BASEMENT (flow over floor) ~ Yes A-~Q"o CISTERN ~ Yes A~~
(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 Q Laundry tub ~ Sanitary sewer ~ Outside
at Inspection: ~ Floor drain ~ Other
Prior to Inspection:
When was system installed, or most recently modified? (Date) and why
$ a Home came with system
Q Water in basement
B. ROOF LEADERS:
C. YARD DRAINS
BEAVER 5Y5TEM
D.
NOTES:
~ Winter
O Side
SUMP PUMP SYSTEM: ~''PASS ~ FAIL You have 30 days to bring your system into compliance with current
regulations. When you are ready for reinspection, call 651/644-1469 for an appointment.
Is there another place where clear water enters the sanitary sewer system? f~ Yes ~'~o
Where is this tocation?
This area will need to be fixed so the clear water discharges to the storm sewer system.
Inspector:
Resident:
Date: = '"
Date: ~
Disclaimer: This visual inspection is done with due diligence to find obvious clear water cross-connections
and does not unply the structure meets all City Codes.
a Response to inspection program ~ Other
Q Previous system failed
[3'"~es L7 No DISCHARGE: ~ Near ~'~'"Away
~ Yes a'No WINDOW WELLS C~ Yes I~~
Q Yes L~1o
PROPERTIES WITH SUMP PUMPS
When does pump run? ~ Fall ~ Summer ~ Spring
(check all that apply) How often does pump nin?
V~here does pump discharge to outside? ~ Front ~ Back
White: Homeowner Yellow: City Pink: HRG