HomeMy WebLinkAboutSump Pump Inspection~ ~,l a~ ~Rro~
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City of Prior Lake
Sump Pump and I/I Reduction
ction Form ,;~~~ J~'
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Name: ~~~N~~ /v~Q Date:~'"' ` ~,~~' Time/~~~a.m./p.m.
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//~~/ ~ ~~ ~~~~~ ~~ ~ First Inspecti - t~ Second ~ ~
Address. l<~ ~~~~~ Own: Rent: ~ ge of Home:~
Prior Lake, MN
, ~/'/ /Residential: ~ ~
55 ~ y~ Phone: 7~` ~- y~~" Non-Residential: ~
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uw~~'wc... ,a ~-H .. .....
A. BASEMENT es ~ No SUMP BASKET ~ 1 ~ 2 O 3 ~
WATER IN BASKET ~ Yes o SUMP~~U1~P'r ~ 1 Q 2d ~~''C~
WATER IN BASEMENT (flow over floor) ~ Yes 1~io CISTERN ~ Yes ~'1 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 ~ Laundry tub
at Inspection: ~ Floor drain
B.
C.
D.
NOTES:
~ Sanitary sewer ~_ ~ Outside
~ Other
Prior to Inspection:
When was system installed, or most recently modified? (Date)
~
and why
Q Home came with system ~ Response to inspection program ~ Other
~ Water in basement ~~ Previo system failed
ROOF LEADERS: es No DISCHARGE: ~ Near ~,~C4"vay
~
YARD DRAINS es ~ No WINDOW WEL~.S ~ Yes
BEAVER SYSTEM ~ Yes o
PROPERTIES WITH SUMP PU1V~S
When does pump run? ~ Fall ~ Summer
(check all that apply) How often does pump run?
Where does pump discharge to outside? la Front
SUMP PUMP SYSTEM: I~ASS ~ FAIL You have 30 days to bring your system into compliance with current
regulations. When you are ready for reinspection, ca[[ 651 /644-1469 for an appoinlment.
Is there another place where clear water enters the sanitary sewer system? ~ Yes (~o
Where is this location?
This area will need to ix~ the clea~va~t 'discharges to the storm sewer system.
Inspector: ,,,.~~.r~-~ Date: ~'- '~i~~ 9 9
Resident ~ ~~% Date: ~- - 99
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.
~ Spring ~ Winter
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I~ Back O Side
White: Homeowner Yellow: City Pink: HRG '
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