HomeMy WebLinkAboutSump Pump Inspectionr'j
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Name: ~~/•~~ ~ 'I ~~ ~S C: ~
~~O ~~~~, ~/ ~~ First Inspe ° n L~ Second ~
Address:~~ Own: Rent: Age of Home: de
,~/~/ Residential: ~
Prior ~,ake, MN 55 ~--~~ ~~ Phone":Y'7`~ ~9~,~ Non-Residential: l7
A. , BASEMENT f9'"Yes ~ No SiJMP BA5KE 1~ 2 17 3~
WATER IN BASKET ~ Yes o SUMP P 0 O 1 Q 2 ~~~'' ~
WATER IN BASEMENT (flow over floor) ~ Yes o CISTERN ~ Yes I~Vfto
(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: ~ Floor drain Q Other -"~
Prior to Inspection:
When was system installed, or most recently modified? (Date) ' and why
~ Home came with system ~ Response to inspection program ~ Other
Q Water in basement ~ ~ Pre ' us system failed
~p ! _~~ ~
B. ROOF LEADERS:V~/'-~~ ~ Yes o DISCHARGE: ~ Near ~way
T ~~~ /~
C. YARD DRAINS ~`~~'`y ~ es Q No WINDOW WELLS ~ Yes I~~'l~To
BEAVER SYSTEM ~ Yes o
D. PROPERTIES WITH SUMP PUMPS
When does pump run? ~ Fall ~ Summer ~ Spring d Winter
(check all that appty) How often does pump run? '~
V~here does pump discharge to outside? ~ Front ~ Back ~,. ~ Side
NOTES:
SUMP PUMP SYSTEM: C~•~ASS ~ FAIL You have 30 days to bring your system into compliance with cur~ent
regulations. When you are ready for reinspection, cal! 651 /644-1469 for an ntment.
Is there another place where clear water enters the sanitary sewer system? ~ Yes 'E'J No
Where is this location?
This area will need to be ed~s-C~e clear wa~er ~harges to the storm sewer system.
I _ ~~o_ y-
Inspector: Date:
Resident:'' ~.~~ V ` ~ ~ { ~_ ~ Date: -/O -
Disclaimer: This visual inspection is done with due diligence to find obvious clear water cross-connections
and does not imnlv the structure meets all City Codes.
City of Prior Lake
Sump Pump and I/I Reduction
ection Form
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Dat~ ~~ ~~ Tim~~a.m./p.m.
White: Homeowner Yellow: City Pink: HRG