HomeMy WebLinkAboutSump Pump Inspection~~~~ ~
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City of Prior Lake
Sump Pump and I/I Reduction
Inst~ection Form
Name: ~r ~'vS's~e/~~ ~o~y~ ~
Address: ~~' ~6~ ~A~~ ~v~
Prior Lake, MN 55 3~ Phone: ~Y7 - 23Z o
Date: 3' 3' `~`~ Time: ~: o~ a.m.
First Inspection L~'' Second ~
Own: ~' Rent: ~ Age of Home:'y~S
Residential: l~'~
Non-Residential: ~
A. BASEMENT Q Yes @'No SUMP BASKET fd~' ~0 1~ 2 ~ 3 Ca
WATER IN BASKET ~ Yes ~ SiTMP PUMP B'() Q 1 ~ 2 ~ 3 O
WATER IN BASEMENT (flow over floor) ~ Yes ~ CI5TERN ~ Yes A~i'G'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
at Inspection:
~ Laundry tub ~ Sanitary sewer O Outside
a Floor drain ~ Other
Prior to Inspection:
When was system installed, or most recently modified? (Date) and why
~ Home came with system ~ Response to inspection program ~ Other
a Water in basement ~ Previous system failed
B. ROOF LEADERS: es ~ No DISCHARGE: 17 Near way
G YARD DRAINS ~ Yes S'" ~N,9~' WINDOW WELLS ~ Yes ~ No
BEAVER 5YSTEM ~7 Yes I! A' N o
D. PROPERTIE5 WITH SUMP PUMPS
When does pump run? ~ Fall a Summer
(check all that apply) How often does pump run?
V~here does pump discharge to outside? ~ Front
NOTES:
I~ Spring ~ Winter
~ Back ~ Side
SUMP PUMP SYSTEM: ~ASS ~ FAIL You have 30 days to bring your system into compliance with current
~ regulations. When you are ready for reinspection, call 651 /644-1469 jor an appo ent.
Is there another place where clear water enters the sanitary sewer system? ~ Yes ~#~~Vo
Where is this location?
This area will need to be fixed so the clear water discharges to tl~e sCorm sewer system.
Inspector: Date: 3 -.~- 99
Resident: 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: Homeowner Yellow: City Pink: HRG