HomeMy WebLinkAboutSump Pump Inspection~~
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City of Prior Lake
Sump Pump and I/I Reduction
Ins~ection Fo
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Name: L~~'~ ~~ `G ~ ~~~~ ~ Date ~ %~' ~ ~ /~Time;~~C' ~.m. /p.m.
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~`'~ , ....- First In~~spe~c econd ~ ~
Address:c~J ~~ ~i~~C/4~ ~17 '~~ Own: ~ Rent: Age of Home:~
J,(~ Residential: ~ ~
Prior~Lake, MN SS~i~ ~hone? ~~~~~~ Non-Residential: ~
A. BASEMENT ~d''Yes ~ No SUMP BASKET ~ 1 ~ 2 ~ 3 Q
WATER IN BASKET 17 Yes No SUMP P 0 O 1 ~ 2 3 O
WATER IN BASEMENT (flow over floor) ~ Yes L o CISTERN ~ Yes ~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 ~ Laundry tub ~ Sanitary sewer~,r Q Outside
at Inspection: ~ Floor drain ~ Other
Prior to Inspection: '~
When was system installed, or most recently modified? (Date) and why
O Home came with system O Response to inspection program ~ Other
~ Water in basement a Previous sys m failed
B. ROOF LEADERS: ~ Yes ~Y'No DISCHARGE: ~ Near f~ Awa
Y
C. YARD DRAINS Q Yes L~R_'~ WINDOW WELLS O Yes LA~1Vo
BEAVER SYSTEM ~ Yes ~No
D. PROPERTIES WITH SUMP PUMPS
When does pump run? ~ Fall ~ Summer ~ Spring Q Winter
(check all that apply) How often does pump run? ''~
V~here does pump discharge to outside? ~ Front ~ 8ack ~ Side
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NOTES:
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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 jor an ap intment.
Is there another place whe clear water enters the sanitary sewer system? I~ Yes ~j2~
Where is this location?
This area will need to ixe o e clear w r di es to the storm sewer system.
Inspector: Date: ' -
Resident. '~i Date: ~ ~~ -
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Disclaimer:~ ' visnal inspection is done with due diligence to find obvious clear water cross-connections
and does not imulv the structure meets all City Codes.
White: Homeowner Yellow: City Pink: HRG