HomeMy WebLinkAboutSump Pump Inspection/
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City of Prior Lake
Sump Pump and I/I Reduction
ion Form ~~~~~
Name : ~,~C./~ ~.~~ S O ~/ , ~ Dat~ ~~` ~ Tim~/~~"~'~m. /p. m.
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~ ~~ First In~spfe ~"on L~''S~econd 17
Address:,~~~~1 ~ f/ fG'~.~~ ~~/~ Own: Q' Rent: Age of Home:~
6 ~~~ , .-- Residential: ~ ~
Prior Lalce, MN 55~~~ Phone~7~`f~•~°~ ~ Non-Residential: Q
A. BASEMENT L'~'~s IJ No~/~ SUMP BASKET t~~~ 1~ 2 ~ 3 ~
WATER IN BA5KET ~ Yes CINo J SUMP P~~ L9' 0~ 1 ~ 2~_ ~~,.~' ~
WATER IN BA5EMENT (flow over floor) Ca Yes Q' 1 V o CISTERN ~ Yes U N 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
at Inspection:
~ Laundry tub ~ Sanitary sewer ~ Outside
~ Floar drain ~ Other
Prior to Inspection:
When was system installed, or most recently modified? (Date)_
~ Home came with system
~ Water in basement
B. ROOF LEADERS:
and why
~ Response to inspection program ~ Other
t7 Previous syst failed
~ Yes ~~TTo DISCHARGE: ~ Near Q Away
C. YARD DRAIN5 ~ Yes L~]''No WINDOW WELLS Q Yes ~
BEAVER SYSTEM I~ Yes ~o
D. PROPERTIES WITH SUMP PUMP5
When does pump run? ~ Fall a Summer O Spring ~ Winter
(check all that apply) How often does pump run? "`~
V~here does pump discharge to outside? ~ Front 17 Back ~ Side
NOTES: ~''
SUMP PUMP SYSTEM: m~ASS d FAIL You have 30 days to bring your system into compliance with current
regulations. When you are ready for reinspection, ca[l 651 /644-1469 for an appoi ent.
Is there another place where clear water enters the sanitary sewer system? ~ Yes I~~Vo
Where is this location?
This area will need to be ed~ clear wa~i~erges to the storm sewer system.
Inspector: ,~,,,-"'~' -y /1 ~%!~`.~--/,y--"- ~.."-"` Date: .~ -~~.5 -
Resident: ~~~ S ~.~-----~_ 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