HomeMy WebLinkAboutSump Pump InspectiondF PR~p
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City of Prior Lake
Sump Pump and I/I Reduction
Insuection Form
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Name. Date. Tim . a.m./p.m.
~'°~ ~~ ~~First In~spfe ~'~n L9' Second ~
Address: ~~: ,J /~~ /~'.~~' ~i(/~4.t/ .~c,`~i(~jwn: L9'' Rent: Q, Age of Home: ~ 1
~ , '/ ~y ~ Residential:l~-''"~I ~
Prior Lake. MN 55 ~~~ Phone~'~` /' ~~~~ Non-Residential: ~I
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A. BASEMENT es ~ No~ 5UMP BASK~T ~~ 1 ~ 2 ~ 3 ~
WATER IN BASKET ~ Yes o SiJMP~ ~P~ 0~ 1 d 2~~Q~-~'~~
WATER IN BASEMENT (flow over floor) ~ Yes L~No CIS1'ERN ~ Yes E~'No
(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 ~ 17 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 ~ Response to inspection program O Other
O Water in basement ~ Prev' us system failed
B. ROOF LEADERS: EI'Yes o DISCHARGE: Q Near L7''Away
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C.
D.
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YARD DRAINS ~ S,I Ai,~~ es D'~~ WINDOW WELLS
BEAVER SYSTEM ~~ i ~~' ~ Yes L~'No
PROPERTIES WITH SiJ1~IP PNUMPS
When does pump run? ~ Fall a Summer ~ Sprin~
(check all that apply) How often does pump run?
V~here does pump discharge to outside? Q Front ~ Back _
NOTES:
~ Yes O~~io
~ Winter
~ Side
SUMP PUMP SYSTEM: L+~'~ASS ~ 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 ap '' ent.
Is there another place where clear water enters the sanitary sewer system? ~ Yes I~3~'No
Where is this location?
This area will need to b xe~e clear ~r ~rges to the storm sewer system.
L Inspector: ; '~`'~' ~---/ Date: ~_~' _7 7 I
Resident: ,_ y, 4 Date: '~ ~~-
Disclaimer: This visual inspection is done with due diligence to find obvious clear water cross-connections
and does not imnlv the structure meets all Citv Codes.
White: Homeowner Yellow: City Pink: HRG