HomeMy WebLinkAboutSump Pump Inspection~'
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City of Prior Lake
Sump Pump and I/I Reduction
Ins~ection Form
Name: ,~ ~r°~~i~~_~~,~~- ~`- ~ C~,rv ~
Address: ~~/9~~ ~i X~ e f o%~ ~~~~ S~
Prior Lake, MN 55 7~ Phone: ~/y l~.~3.5~7
Date: -/J- Time:0930a.m./p.m.
First Inspection C-I~Second D U
Own: C~'''~ent: ~ Age of Hame: 1J ~v.
Residential: A'' ~~ ~
Non-Residential: ~
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A. BASEMENT ~s ~ No SUMP BASKET 0~ 1 d 2 ~ 3 L~
WATER IN BA5KET 17 Yes ~ No SUMP PUMP ~~ 1 I~ 2~ 3 ~
WATER IN BASEMENT (flow over floor) ~ Yes ~1o CISTERN ~ Yes i~-1Qo
(If no pump, place sticker across edge of sump cover and basement floor so any removal of cover will
t break seal. Skip to Part B of this form.)
Discharge Point a 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
L~ Home came with system ~ Response to inspection program ~ Other
~ Water in basement ~ Previous system failed
B. ROOF LEADERS: ~ Yes C~''No DISCHARGE: Q Near ~ Away
C. YARD DRAINS ~' e'Yes ~a WINDOW WELLS 17 Yes A~1o I
BEAVER SYSTEM ~ Yes ~~''No
D. PROPERTIES WITH SUMP PUMPS
When does pump run? ~ Fall ~ Summer ~ Spring ~ Winter
(check all that apply) How often does pump run?
V~here does pump discharge to outside? ~ Front ~ Back ~ Side
NOTES:,'~ ~(n.i~•.s ~h -~.nf" o f ~ av-~ C ~ I~a~~ -•-~ •---~ -, ~ ~i ~ ~ ~' ~ vi..J /- -•-•-•---•-•-•-
SUMP PUMP SYSTEM: L~' PASS Q FAIL You have 30 days to bring your system into comp[iance with current
regulations. When you are ready for reinspection, call 651 /644-1469 for an appoinrmenr.
Is there another place where clear water enters the sanitary sewer system? ~ Yes Q-~Qo
Where is this location?
This area will need to be fixed so the clear water discharges to the storm sewer system.
Inspector: ~l - Date: 6'/ %' y Y
Resident: , , ~y ~ Date: / ~ - 5' ~ _
Disclaimer: This visual inspection is done with due diligence to find obvious clear water cross-connections
and does not imnlv the structure meets all Citv Codes.
White: Homeowner Yellow: City Pink: HRG