HomeMy WebLinkAboutSump Pump Inspection4~ PRIp~
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City of Prior Lake
Sump Pump and I/I Reduction
Insnection Form
•~ Name: ~~~-~~.~il,~ ~~ // ~
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~/ ~/~ 7,N ~ .~ First In~sp~e_,c, ~' ~ l9' Second a l
Address: ~~c~ ~.3 fk,lG~ G~ .Q /~~ ,Q Own: ~ Re`~n~t: ' Age of Home: ~
~. ~/',/~ Residential: L~' ~
Prior Lake, MN 55 ~~~' Phone`Y°`~'~ `~~.-~ Non-Residential: ~
A. BASEMENT ~jfes_~ a~° SUMP BASKET ~~ /0~(~ Q 2 ~ 3 l7
WATER IN BASKET ~'Yes ~ No SUMP ~F~ ~ I~0 Q 1 ~ 2~ U /3 ~
WATER IN BASEMENT (flow over floor) L~ Yes CD~Qo CIS1'ERN Ct 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 PaR B of this form.)
Discharge Point ~ Laundry tub ~ Sanitary sewer OL~ utside
at Inspection: ~ Floor drain ~ Other
Prior to Inspection:
When was sy~tem installed, or most recently modified? (Date) ~ ~~ and why
~ e came with system ~ Response to inspection program ~ Other
ater in basement ~ Previ system failed
B. ROOF LEADERS: L~~No DISCHARGE: D Near A'"Away~
C. YARD DRAINS Yes ~ No , WINDOW WELLS es Q No
BEAVER SYSTEM d Yes Ca.~'o ?
D. PROPERTIES WITH SUMP PUMPS
When does pump run? I~ Fall ~ Summer ~ S rin ~ Winter
(check all that apply) How often does pump run? /~~E~~~-
t~here does pump discharge to outside? ~ Front ~ Back O Side
NOTES:
Date:'~'/'~a'~,~ TimeJ~~ a~.m./p.m.
,~/C~
SUMP PUMP SYSTEM: D~ASS !7 FAIL You have 30 days to bring your syslem into compliance with current
reguladons. 4Vhen you are ready for reinspection, call 6$1/644-1469 for an appo~ ent.
Ts there another place where clear water enters the sanitary sewer system? ~ Yes Q~.zvo
Where is this location?
This area will need to b~ixed~the clear w~ter ~arges to the storm sewer system.
Inspector:
Resident: ~
Date: 'Y-~~ -
Date: -/C~ -
Disclaimer: This visual inspection is done with due diligence to find obvious clear water cross-connections
and does not unply the structure meets all City Codes.
~P J7~
White: Homeowner Yellow: City Pink: HRG