HomeMy WebLinkAboutSump Pump Inspection1 ~, `~!°
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City of Prior Lake
Sump Pump and I/I Reduction
Insnection Form
Name: ~r~~'~ So/7 ~~~,~C.
,
Address: ~~ 3 ~.~ ~lo ~~i Gw~ F"'"~
Prior Lake, MN 55 37Z Phone: ~4f? ~~'~~
Date:3'~' -`j Time: 3~, 3 O a.
First Inspe~tion ~Second ~
Own: ~Rent: Age of Home:~
Residential: ~
Non-Residential: ~
A. BASEMENT ~s ~ No ~~-~' SiJMP BASKET @~'~ l~ 1~ 2 ~ 3
WATER IN BA5KET ~ Yes IJ'1~To SiJMP PUMP ~~~ 1~ 2 ~ O
WATER IN BA5EMENT (flow over floor) ~ Yes lt7-P~6'~ CISTERN Q 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 ~ Laundry tub ~ Sanitary sewer ~ Outside
at Inspection: O Floar drain ~ Other
Prior to Inspection:
When was system installed, or most recently modified? (Date) and why
~ Home came with system Q Response to inspection program 17 Other
Q Water in basement Q Previous system failed
~
B. ROOF LEADERS: ~ Yes o DISCHA.RGE: ~ Near ~ Away
C. YARD DRAINS ~ Yes L~'~1o WINDOW WELLS 17 Yes -~No
BEAVER SYSTEM ~ Yes l~o
D. PROPERTIES WITH SUMP PUMPS
When does pump run? O Fall ~ Summer ~ Spring ~ Winter
(check all that apply) How often does pump run?
Where does pump discharge to outside? d Front C1 Back ~ Side
NOTES:
SUMP PUMP SYSTEM: ~ASS O FAIL You have 30 days to bring your system into campliance with current
regulations. When you are ready for reinspection, call 651 /644-1469 for an appoinhnent.
Is there another place where clear water enters the sanitary sewer system? ~ Yes ~''No
Where is this location?
This area will need to be fixed so the clear water discharges to the storm sewer system.
Inspector: Date: 3- ~ "g9
Resident: ,s Date:
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.
White: Homeawner Yellow: City Pink: HRG