HomeMy WebLinkAboutSump Pump InspectionOF PRIp
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City of Prior Lake
Sump Pump and I/I Reduction
Inspection Form ,q~,~ ~~-
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Name: ~~~ /O~ ~Jc.~'~~ Date~ `~`~ Time~~~ Qa.m./p.m.
// ,~/ First In~s~p~ec ' Second ~
Address: /100~~ ~~ ~~~~~00~0 ~.~ Own: @'" Rent: Ca Age of Home: ~
, ,~J .,,.~Residential: ~'
Prior Lake, MN 55 ~~~ Phone:7`~0%^~~~ Non-Residential: D
A. BASEMENT f~es a No ~ SUMP BASKET ~(y~l ~ 2 O 3 ~
WATER IN BASKET ~ Yes o SUMP~~~~ ~0 ~ 1 ~ 2~ O
WATER IN BASEMENT (flow over floor) ~ Yes o CISTERN ~ Yes 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 I~ Laundry tub Q Sanitary sewer Q Outside
at Inspection: ~ Floor drain ~ Other ~'''~~
Prior to Ins ction:
When systern installed, or most recently modified? (Date) '"~ and why
Home came with system ~ Respo e to inspection program ~ Other
O Water in basement ~ Pre ' us system failed
B. ROOF LEADER5: Yes DISCHARGE: ~ Near way
C. YARD DRAINS es o WINDOW WELi.S ~ Yes ~
BEAVER SYSTEM I~ Yes ~
D. PROPERTIES WITH SUMP PUMPS
When does pump run? Q Fall 17 Summer
(check all that apply) How often does pump run?
V~here does pump discharge to outside? ~ Front
NOTES: ,~~• c ~9/// -•-•~-~ ~- -• 1 ~ • f---' ~-~I ~ ~'
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~ Spring ~ Winter
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Ca Back d Side
~ •---•~-•-•-~.A 4 L / s ,c~ ~ .
. .
SUMP PUMP SYSTEM: SS ~ FAIL You have 30 days to bring your system into compliance with curre
regu[ations. When you are ready jor reinspection, ca11651 /644-1469 for an ap ent.
Is there another place where clear water enters the sanitary sewer system? Q Yes o
Where is this location?
This area will need to b ed~e clear w~ dis arges to the storm sewer system.
Inspector: • -''L'~`~" Date: ...:3- ~ - ~y
Resident: Date: - 6 -
I Disclaimer:61`his visual inspection is done with due diligence to find obvious clear water cross-connections I
and does not imuly the structure meets all Cit_y Codes.
White: Homeowner Yellow: City Pink: HRG