HomeMy WebLinkAboutSump Pump Inspection~a
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City of Prior Lake
Sump Pump and I/I Reduction
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o~/~,~,~~Inspectlon Form ,~p~ T
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Date~=~''~ 9~ Time~~~a.m./p.m.
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~% ,,~ ~~~ First Inspect' Second ~ /
Address: ~~~~~ /~/~~' ~'~~~Uat~ /F.1> Own: Rent: Q, Age of Home: /~
,/ Residential: ~Y''~ ~
Prior Lake, MN 55 ~~ i'~ Phone':~'`~~~~~~~ Non-Residential: ~
C. YARD DRAINS O Yes l~_~*'~ WINDOW WELI.S ~ Yes'~No .-
BEAVER SYSTEM ~ Yes E'~ No
D. PROPERTIES WITH SUMP PUMPS
When does pump run? Q Fall O Summer 17~ring a Winter
(check all that apply) How often does pump run?
V~here does pump discharge to outside? ~ Front Q:.Back Q Side
NOTES;
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A. BASEMENT es ~ No~_~~ ~'` SUMP BASKET ~ 0 C] 2 Q 3 ~
WATER IN BASKET ~ Yes C~No / SUMP P~~` 0~ 1 ~ 2~ ~~ /3- O
WATER IN BASEMENT (flow over floor) ~ Yes ~ I Q o CISTERN ~ Yes ~' 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 Q Laundry tub ~ Sanitary sewer ~~ Outside
at Inspection: ~ Floar drain Q Other
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Prior to Inspection:
When s system installed, or most recently modified? (Date) and why
Home came with system ~ Response to inspection program ~ Other
Q Water in basement ~ Prev' s system failed
B. ROOF LEADERS: ~No DISCHARGE: ~ Near way
SUMP PUMP SYSTEM: ASS ~ FAIL You have 30 days to bring your system into compliance wuh current
regulations. When you are ready for reinspection, call 6511644-1469 for an tntment.
Is there another place where clear water enters the sanitary sewer system? ~ Yes L~ No .
Where is this location?
This area will need to ixe~O the cle~~ discharges 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.
Date:
Date:
I ~Y -
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White: Aomeowner
Yellow: City
Pink: HRG