HomeMy WebLinkAboutSump Pump Inspection,c~~~~' ~F PRIp~A
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City of Prior Lake
Sump Pump and I/I Reduction
Ins~ection Form
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Name:~t.~f~~- ~~~~~ ~)~=~~~~~ Date•,~f~~~~ Time~lo%7 a.m./p.m.
First In~s~~pe~c ~ e" Second ~ f
Address:,~~~~~ ~~''~~ ~/ ~~ Own: ~'' Rent: ~ Age of Home:~8 "
,~/'/ Residential: ~~ ~
Prior Lake, MN 55 ~f~ Phone: 7'Y ~~~'Sl~ Non-Residential: ~
A. BASEMENT d~'S'es Q No / SUMP BASKET ~O 1 a 2 ~ 3 ~
WATER IN BASKET O Yes 1~1~1o SUMP P~~ 0~ 1 O 2 ~ 3 ~
WATER IN BASEMENT (flow over floor) ~ Yes ~I~IQo CISTERN D Yes ~
(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: Q Floor drain ~ Other
Prior to Inspection:
When was system installed, or most recently modified? (Date)
and why
~ Home came with system I~ Response to inspection program l7 Other
l7 Water in basement ~ Pre 'ous system failed
B. ROOF LEADER5: Q~~ Yes ~ No DI5CHARGE: ~ Near ~rl''Aw y ~
~~ '-/~ _ ~
C. YARD DRAINS a Yes L~' WINDOW WELLS ID~'Yes Q No
BEAVER SYSTEM ~ Yes ~~
D. PROPERTIES WITH SUMP PUMPS
When does pump run? ~ Fall ~ Summer ~~ Q Winter
(check all that apply) How often does pump run?
Where does pump discharge to outside? ~ Front Cl Back Q Side
NOTES: __ _ ~ _-
SUMP PUMP SYSTEM: PASS Q FAIL You have 30 days to bring your system into compliance with cu
regulations. When ynu are ready far reinspection, ca!! 651/644-1469 for an ointment.
Is there another place where clear water enters the sanitary sewer system? ~ Yes No
Where is this location?
This area will need to be ed e clear te ' charges to the storm sewer system.
Inspector: Date: " ~ '
Resident: _, ~' , . t~. `1'". . .;.~:~~,}' ',~.~ _ Date: ~/ - ~
Disclaimer: This visual inspection is done with due diligence to fmd obvious clear water cross-connections
and does not imply the structure meets all City Codes.
White: Homeowner Yellow: City Pink: HRG