HomeMy WebLinkAboutSump Pump Inspection~~~
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City of Prior Lake
Sump Pump and I/I Reduction
Inspection Form
Name: J~E'. 1~cr r1 ~, ~~t t'1
Address: ~~ Q ? ? /~~~"~ ~o o ~ ~~~Jk.J
Prior Lake, MN 55 1 / J Phone: 31- / 0 0
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Date: ~= f.~- ~9 Time: ~oj o a.m./p.m.
First Inspection ~Second Q
Own: C-~' Rent: ~ Age of Home:~inJ
Residential: ~""
Non-Residential: 0
~ . ~/'~G~ .~ut . ~ ~.. .
A. BASEMENT L~'~es ~ No SiJMP BASKET ~ 0 ~~ 2 ~ 3 ~
WATER IN BASKET ~ Yes C~'~To SUMP PiJMP ~ ~ 1 Q 2 O 3 Q
WATER IN BASEMENT (flow over floor) ~ Yes ~o CISTERN Q Yes Q~~T'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 Q Laundry tub O Sanitary sewer Q Outside
at Inspection: C7 Floor drain ~ Other
Prior to Inspection:
When was system installed, or most recently modified? (Date) and why
~ Home came with system ~ Response to inspection program [a Other
~ Water in basement Q Previous system failed
B. ROOF LEADERS: a Yes 17''No DISCHARGE: ~ Near l7 Away
C. YARD DRAINS Ca Yes CY'~1o WINDOW WELLS Q Yes ~~To
BEAVER SYSTEM ~ Yes I~'1Qo
D. PROPERTIES WITH SUMP PUMPS
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 O Side
NOTES:
SUMP PUMP SYSTEM: ~'PASS ~ FAIL You have 30 days to bring yoursystem into compliance wuh current
regutations. When you are ready for reinspection, ca11651/644-1469 for an appointment.
Is there another place where clear water enters the sanitary sewer system? ~ Yes ~1''l~0
Where is this location?
This area will need to be fixed so the clear water discharges to the storm sewer system.
Inspector: L.~~r,,~ ~~'7 ~Jl.~r~ _ Date: ~'- / 3- 9 9
Resident: Date: ~- /3 ' 9 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