HomeMy WebLinkAboutSump Pump Inspection~
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City of Prior Lake
Sump Pump and I/I Reduction
tion Form
Name: ~ ~, ~, „s ~~ h ~ ~ Y ~ c~ (P ~/
Address: / „~~ ~ % /~~, ~-+ ~ ~a ~ ~D /~ F
Prior Lake, MN 55 ~ 7.-~ Phone: L t/ ~ ~' ,~6~
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Date: ri <r g Time''1~~`~"m./p.m.
First Inspection ~Second ~
Own: ~ Rent: ~ Age of Home: ~ Y1,
Residential: [~~'"~
Non-Residential: O
L,~,,w / 6 ~r u~ 7 _~/
A. B SEMENT ~es ~ No 5UMP BASKET a 0 0" 1~ 2 ~ 3 Q
ATER IN BASKET ~s ~ No SUMP PLTMP O 0 ~~ 2 ~ 3 O
ATER IN BA5EMENT (flow over floor) ~ Yes ~o CISTERN a Yes L~-iQo~
~(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 C~ Laundry tub ~ Sanitary sewer ~I Outside
at Inspection: Q Floor drain ~ Other
Prior to Inspection:
When was system installed, or most recently modified? (Date) and why
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CI
Home came with system ~ Response to inspecti on program ~ O ther
O Water in basement ~ Previous system failed
B. ROOF LEADER5: O Yes Q'No DISCHARGE: ~ Near ~ Away
C. YARD DRAINS ~ Yes C~1o WINDOW WELLS ~ Yes E~No
BEAVER SYSTEM L7 Yes ~~
D. PROPERTIES WITH SUMP PUMP5
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When does purnp run? ~ Fall ta` Summer a Spring ~ Winter
(check all that apply) How often does pump run? ~F~./v, r~~ ~ ~- f tiH ;,~,~F a~ L, o,,.~ G`F~{,~N.
V~here does pump discharge to outside? ~ Front ~Back e
NOTES:
SUMP PUMP SYSTEM: ASS 17 FAIL You have 30 days 1o bring your system into comptiance with current
regulations. When you are ready for reinsQection, call 651/644-1469 for an appnintment.
Is there another place where clear watet enters the sanitary sewer system? a Yes U No
Where is this location?
This ,~rea will need to be fixed so the clear water discharges to the storm sewer system.
Inspector: ~/ yi1 Date: ~--~''.:_._2~.~ ? ~ ~ ` 9~'
Resident: ~ ~ Date: ~`~"~-~'~ ~~ ~ 1- ~ y
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
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