HomeMy WebLinkAboutSump Pump Inspection,~o
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City of Prior Lake
Sump Pump and I/I Reduction
Insnection Form
Name: V~Ef ~~ r ~P r ~ , ~~~
Address: ~~ ~~ ~ l11 ~v-`~~,w ~. ~ ~J' N~
Prior Lake, MN 55 ?'.~ Phone: 1/ y 7.- ~ 7~'y~
Date: ~- z'~ ~~9 Time: ,~ y a.mJp.m.
First Inspection L~''~ Second ~
Own: C~' Rent: ~ Age of Home:~
Residential: ~
Non-Residential: D
V,/F l ~ O v {' ~
A. BASEMENT ~es ~ No SiJMP BASKET L~ 0~ 1 ~ 2 ~ 3 ~
WATER IN BASKET I~ Yes ~ No Si1MP PUMP ~~ 1 ~ 2 ~ 3 O
WATER IN BASEMENT (flow over floor) ~ Yes 13'~fo CISTERN ~ Yes 13-~*Fo
(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 d Sanitary sewer O 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 ~ Other
~ Water in basement ~ Previous system failed
B. ROOF LEADERS: l3''Yes D No DI5CHARGE: C-~'Near ~ Away
C. YARD DRAINS ~ Yes 13'~No WINDOW WELi.S O Yes 13~0
BEAVER SYSTEM la Yes I~''No
D. PROPERTIES WITH 5UMP PUMP5
When does pump run? ~ Fall ~ Summer ~ Spring ~ Winter
(check all that apply) How often does pump run?
V~here does pump discharge to outside? ~ Front ~ Back 17 Side
NOTES:
SUMP PUMP SYSTEM: PASS ~ FAIL You have 30 days to bring your system into compliance with current
regulalions. When you are ready for rein.spection, ca11 651 /644-1 469 for an appointment.
Is there another place where clear water enters the sanitary sewer system? ~ Yes C-i~io
Where is this location?
This area will need to be fixed so the clear water discharges to the storm sewer system.
Inspector: Date: ~" - Z ~ ~ q9
Resident: ~~ ~~ ; ~ Date: ~"- Z U `~9
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