HomeMy WebLinkAboutSump Pump Inspection~ ~F PRIp
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City of Prior Lake
Sump Pump and I/I Reduction
ion Form
Name: ~ C ~G Yvv~oVe , ~~~~~f ~- ~o ~,.~~~
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Address: /~ ~~'a Tl~- d C~~ ~~ ~D ~~
Prior Lake, MN 55 ~? 7a2 Phone: ~/y4 -,~`/3d
Date: ~/-,..?.~- ~q Time:/6.;' ~ a.mJp.m.
First Inspection L~'~ Second ~
Own: L~ Rent: d Age of Home:~
Residential: C~
Non-Residential: ~
w~+/y o~7 -/
A. BA5EMENT ~"'Yes ~ No SiJMP BASKET Q" 0~ 1 ~ 2 ~ 3 ~
WATER IN BASKET C7 Yes Q No SUMP PUMP ~'0 ~ 1 ~ 2 ~ 3 Q
WATER IN BASEMENT (flow over floor) Q Yes 1~1o CI5TERN ~ Yes C~'1Vo
(If no purnp, 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
17 Home came with system
Q Water in basement
B. ROOF LEADERS:
C. YARD DRAINS
BEAVER SYSTEM
~ Response to inspection program Q Other
~ Previous system failed
~ Yes L,~' No DISCHARGE: l~ Near ~ Away
~ Yes ~No WINDOW WELLS ~ Yes ~''No
~ Yes L~`No
D. PROPERTIES WITH SUMP PUMPS
When does pump run? ~ Fall ~ Summer
(check all that apply) How often does pump run?
V~here does pump discharge to outside? ~ Front
NOTES:
~ Spring ~ Winter
Q Back ~ Side
SUMP PUMP SYSTEM: [~' YASS ~ FAIL You have 30 days to 6ring your system inlo compliance with cunent
reguladons. When you are ready jor reinspection. call 651/644-1469 for an appointment.
Is there another place where clear water enters the sanitary sewer system? Q Yes C~"~To
Where is this location?
This area will need to be fixed so the clear water discharges to the storm sewer system.
Inspector: Date: ~/- m2.1- 9 f
Resident: Date: ~/- ,2 ,~ - 99
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