HomeMy WebLinkAboutSump Pump Inspection~~ ~~ ~
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City of Prior Lake
Sump Pump and I/I Reduction
Ins~ection Form
Name: ~Upah T l,~rn Q r°~ Date: 3-.~-~3 Time: 9' "Qo .~i ./p.m.
T~
First Inspection L~ Second ~
Address: ~6~ ~~ ~~'~ ~~~"~'' "~ ~°( Own: L~'~ Rent: Age of Home2 Q y r-~
Residential: ~
Prior Lake, MN 5537Z Phone: <,l~ 7-3~5 Non-Residential: ~
A. BASEMENT @'Yes ~ No SUMP BASKET ~ a 1 ~ 2 17 3~
WATER IN BASKET ~ Yes f9'No SUMP PUMP l~-'6~ D 1 ~ 2 ~ 3 O
WATER IN BASEMENT (flow over floor) I~ Yes ~o CISTERN ~ Yes ~'l~io
(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 Q Laundry tub ~ Sanitary sewer 17 Outside
at Inspection: ~ Floor drain ~ Other
Prior to Inspection:
When was system installed, or most recently modified? (Date) and why
B.
C.
D.
NOTES:
17 Spring O Winter
O Back la Side
SUMP PUMP SYSTEM: ~ASS ~ FAIL You have 30 days to bring your system into compliance with current
reguladons. When you are ready jor reinspection, ca[[ 651 /644-1469 for an appointment.
Is there another place where clear water enters the sanitary sewer system? ~ Yes L~I~o
Where is this location?
This area will need to be fixed so the clear water discharges to the storm sewer system.
Inspector: Date: .3- ~- 5' ~
Resident: ~}--~~ ~~ ~f ,~_.,.~-~-y1 Date:
Disclaimer: This visual inspection is done with ue diligence to find obvious clear water cross-connections
and does not imnlv the structure meets all Citv Codes.
~ Home came with system ~ Response to inspection program Q Other
~ Water in basement ~ Previous system failed
ROOF LEADER5: ~ Yes ld~'No DISCHARGE: ~ Near O Away
YARD DRAINS ~ Yes~ WINDOW WELLS Q Yes~
BEAVER SYSTEM 17 Yes L~ No
PROPERTIES WITH SUMP PUMPS
When does pump run? ~ Fall ~ Summer
(check all that apply) How often does pump run?
V~here does pump discharge to outside? Q Front
White: Homeowner Yellow: City Pink: HRG