HomeMy WebLinkAboutSump Pump Inspection2~~
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City of Prior Lake
Sump Fump and I/I Reduction
Inst~ection Form
Name:~,~n-~% C~ ~`"~°n Date: "~ -~- 9`~ Time: ~: ySa.m.~
First Inspect2on ~Second ~
Address: ~ 5~~ `~ /~A~'1 /~O v~~ Own: ~Rent: Age of Home: ~Q~~s
Residential: ~
Prior Lake, MN 55 37Z Phone: ~/~/7- ~G~~ / Non-Residential: ~
A. BASEMENT ~''Yes ~ No SiJMP BASKET ~ 1~ 2 ~ 3 La
WATER IN BASKET ~ Yes ~ SiJMP P~ ~ 1 ~ 2 ~ 3 ~
WATER IN BASEMENT (flow over floor} a Yes ~YNo CISTERN ~ Yes ~
(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 ~. Laundry tub Q Sanitary sewer ~ Outside
at Inspection: ~ Floor drain ~ Other
Prior to Inspection:
When was system installed, or most recently modified? (Date) and why
C] Home came with system ~ Response to inspection program ~ Other
Q Water in basement ~ Previous system failed
B. ROOF LEADERS: ~'Yes ~ No " DI5CHARGE: ~ Near CD~way
C. YARD DRAIN5 d Yes ~ No WINDOW WELLS P~Yes ~ No
BEAVER SY5TEM D Yes 17 No
D. PROPERTIES WITH SUMP PUMPS
When does pump run? ~ Fall ~ Swnmer t] Spring Q Winter
(check all that apply) How often does pump run?
V~here does pump discharge to outside? ~ Front ~ Back ~ Side
NOTES:
SUMP PUMP SYSTEM: ~~~.,pASS ~ FAIL You have 30 days ta bring your system into compliance with current
regulations. When you are ready for reinspection, call 651 /644-1469 for an pointment.
Is there another place where clear water enters the sanitary sewer system? ~ Yes ~''No
Where is this location?
This area will need t e fixed so the clear water discharges to the storm sewer system.
Inspector: Date: ~- ~ 9 ~
Resident: 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.
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White: Homeowner Yellow: City Pink: HRG