HomeMy WebLinkAboutSump Pump InspectionCity of Prior Lake
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Sump Pump and I/I Reduction
Inspection Form ~~~~ r
Name: .~.~~~/st/ Q~%-4,(.,D Dat~.~~~~~ Time/ ~~'~a.m./p.m.
/,/ ~ ~~1 First In~~s~p~e ° n C9' Second ~
Address:~`p~~~/~/ ~~~/~'~~~~ /i-U ~~" Own: C~' Rent: ~ Age of Home:
~/,~ , Residential: ~ ~~j~-~O~ L p
Prior Lake, MN 55~~~ Phon~'t~f~-~~~i~ Non-Residential: Q
A. BASEMENT es ~ No~ SUMP BASKET 0~7 1~ 2 ~ 3 ~
WATER IN BASKET ~ Yes o SUMP
P~ 19~~ Q 1 ~ 2 ~ 3 ~
WATER IN BASEMENT (flow over floor) ~
~ Yes Cr1'No CISTERN ~ Yes L3~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 Q Outside
at Inspection: Q Floor drain ~ Other -~'`
Prior to Inspection: ""~
When was system installed, or most recently modi~ed? (Date) and why
~ Home came with system
~ Water in basement
B. ROOF LEADERS:
---•-•-•---•-•-•-----•-•-•-------•-•--- ---•-•-----•-•---•-•-•-•---•-•-•-------._._._.-~----•-- -•---•---._._._.---•-•-•-----•-
NOTES:
.,~''
C. YARD DRAINS Q Yes ~ ~' WINDOW WELi.S Yes ~ No
BEAVER SYSTEM ~ Yes ~''No
D. PROPERTIES WITH 5UMP PUMPS
When does pump run? ~ Fall ~ 5ummer ~ Spring ~ Winter
(check all that apply) How often does pump run? "'
V~here does pump discharge to outside? ~ Front ~ Back O Side
SUMP PUMP SYSTEM: L'~''PASS ~ FAIL You have 30 days to bring your system into comp[iance with current
regulations. When you are ready for reinspection, call 651 /644-1469 for an appoi ent.
Is there another place where clear water enters the sanitary sewer system? ~ Yes f~7~1Vo
Where is this location?
This area will need to b ed~se~the clea~te~harges to the storm sewer system.
Inspector:
Resident:
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.
a Response to inspection program
IJ Previ s system failed
l~~'I'es ~ No DISCHARGE:
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Date: .e.~ -rG~ -
Date: . 3 r.Z..S- '
~ Other
~ Near ~''Away
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White: Homeowner
Yellow: City
Pink: HRG