HomeMy WebLinkAboutSump Pump InspectionCity of Prior Lake
Sump Pump and I/I Reduction
Name: ~..~/ ~~~~'~
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tion Form
Address: "?`~~` ~~ ~~~~~.~ ~~
Prior Lake, MN 55 ~~~' Phone~%~i~"~'Y`~"~/
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Date: 7 -~~ ~~ Time~~~.m./p.m.
First Inspe~ion Second ~
Own: I'9'~ Rent: ~ Age of Home:~~
Residential: ~_
Non-Residential: ~
A. BA5EMENT ~s ~ SUMP BASKE'~ O(~/L~~ Q 2 ~ 3 d
WATER IN BASKET es ~ No SIJMP P~ ~0 Q 1 ~ 2~ ~~ ~Q
WATER IN BASEMENT (flow over floor) ~ Yes ~~.PQo CISTERN ~ Yes da'No
(If no pum~, 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: ~I Floor drain ~ Other `-"~
~. Prior to Inspection: '''
When w system installed, or most recently modified? (Date) and why
~ ~' H o m e came with s stem ~ Res onse to ins ection ro ram ~ Other
Y P P P g
~ ~ Water in basement ~ Previous syste failed
B. ROOF LEADER5: Q Yes ~~1Qo DISCHARGE: O Near 17 Away
C. YARD DRAINS O Yes Q~_~~'" ~~ WINDOW WELI;S O Yes Q No
BEAVER SYSTEM ~ Yes ~ No
D. PROPERTIES WITH SUMP PUMPS
When does pump run? ~ Fall ~ Summer ~ S~ring d Winter
(check all that apply) How often does pump run?
V~here does pump discharge to outside? ~ Front ~ Back ~ Side
NOTES:
~
SUMP PUMP SYSTEM: I~~ASS Q FAIL You have 30 days ta bring your system into compliance with current
regulations. When you are ready for reinspection, call 651 /644-1469 for an ap ' ent.
Is there another place where clear water enters the sanitary sewer system? ~ Yes ~
Where is this location?
This area will need to be ed~s'~e clear w~di~iarges to the storm sewer system.
- ~
I Inspector: ,/~~'`' ~- `"-"'' Date: "` "' f" ' / I
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.
Ins
White: Homeowner Yellow: City Pink: HRG