HomeMy WebLinkAboutSump Pump Inspectionag PRro~
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City of Prior Lake
Sump Pump and I/I Reduction
Inspection Form ~o~J ~
Name: ~~~a^~ /-~u~ ~ Dat~ %~~ ~~ Tim~~~~a.m./p.m.
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~p,/ i ~~ ~,~~~~ `~~ First Inspfe ~'on ~ Second Q ,~ /~
Address: ~~ /~7 ~~~~«~ l, Own: @' Rent: Age of Home:'7 ,
~~~ r~~/ Residential: ~ .y
Prior Lake, MN 55 ~~~ PY~,one~r"''~ %~'`~`'`~'`'~~ Non-Residential: ~
A. BASEMENT es ~ No SUMP BA5KET ~~ ~1 O 2 ~ 3 ~
WATER IN BAS T~ Yes o SUMP P~~ C~0 O 1 ~ 2 ~ 3 ~
WATER IN B.hSEMENT (flow over floor) ~ Yes CE No CI5TERN ~ Yes ~.P~"~~
(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 O Laundry tub ~ Sanitary seweaL ~ Outside
at Inspectian: 17 Floor drain ~ Other
Prior to Inspection:
When was systern installed, or most recently modified? (Date) and why
~ Home came with-system ~ Response to inspection program ~ Other
~ Water in basement ~ Pre '"us system failed
B. ROOF LEA.DERS: L~ Yes Q N - DISCHARGE: ~ Near Awa
Y
C. YARD DRAINS ~ Yes Q~ WINDOW WELLS ~ Yes L~'No ~
BEAVER SYSTEM ~ Yes ~" No
D. PROPERTIES WITH SUMP PUMPS
When does pump run? ~ Fall ~ Summer ~ Spri~ ~ Winter
(check all that apply) How often does pump run?
V~here does pump discharge to outside? ~ Front ~ BacJ~- O Side
NOTES:
SUMP PUMP SYSTEM: C~PASS ~ FAIL You have 30 days to bring your system into compliance with current
regulations. When you are ready for reinspection, ca[1651 /644-1469 for an ointment.
Is there another lace where clear water enters the sanita sewer s stem? Q Yes I'?! No
P r1' Y
Where is this location?
This area will need to e xed,s~the clear~y~r d~harges to the storm sewer system.
I Inspector: . _ _~ __ ~------~'' Date: ....5 -~ %' 77 I
Resident: ~ ~ ~,~-~.~,-~4~%i .,~-.-~.~..-----._ Date: ~-
Disclaimer: This visual inspection is done with due diligence to find obvious clear water cross-connecNons
and does not imply the structure meets all City Codes.
White: Homeowner Yellow: City Pink: HRG