HomeMy WebLinkAboutSump Pump Inspection~ o~ P~ro
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City of Prior Lake
Sump Pump and I/I Reduction
ection Form
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Name: ~~~~ vC/ ~~'~~ '~--'% Date~~~'~Time,~~ (~a.m./p.m.
1 ~~/ ~~~ ,/~ J,S ~-First Insp tion Ar Second ~
Address:~~7 ~ C~/~'/~. ~.~ ~ Own: ~Ren •~ Age of Home: l~ f
~y , ~~,,,.../ Residential: ~ ~
Prior Lake, MN 55 ~/~` Phone'~j~7`~f ~o i~~ ~ Non-Residential: ~
A. BASEMENT ~s O No~_~ /`~ SIJMP BASKET a 0 ~~!~ 2~ 3 ~
WATER IN BASKET ~ Yes CD~'Qo SiJMP ~P~~ ~ 0 19~1 ~ 2~ Q~'~
WATER IN BASEMENT (flow over floor) ~ Yes ~' N o CISTERN ~ Yes L 9' N 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 ~ Laundry tub ~ Sanitary sewer L'~''6utside
at Inspection: ~ Floor drain ~ Other
Prior to Inspection: q
When was systern installed, or most rece modified? (Date) ~" ~/ and why
Q H me came with s stem el~Y~l~ to ins ectian ro ram ~ Other
o Y P P P g
~ Water in basement ~ Previous syst failed
B. ROOF LEADERS: ~ Yes Na' o DISCHARGE: ~ Near Q Away
C. YARD DRAINS ~ Yes ~~ ~N!''`~ WINDOW WELLS ~ Yes ~"'fio
BEAVER SYSTEM ~ Yes [~'NO
D. PROPERTIES WITH SUMP PUMPS ~~~ r
When does um run? O Fall Q'Summ ring ~/ ~ Winte I
(check all that a ply) How often does um ? 7L~~ ~`~`~A~ ~A~'`~
V~here does pump discharge to outside? ront ~ Back O de
NOTES:
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SUMP PUMP SYSTEM: L~I'ASS I~ FAIL You have 30 days to bring your system into compliance with current
regulations. When you are ready for reinspection, ca[l 651/644-1468 for an appointment.
Is there another place where ctear water enters the sanitary sewer system? I~ Yes 1~-~
Where is this location?
This area will need to e xe the clea~a~charges to the storm sewer system.
Inspector: ~ ~"' Date: ,~G ~G J `
Resident: ~ . ~ D Date: ,. ~ ~ ~ ;
Disclaimer: This visual inspeoti n is done with due diligence to find obvious clear water cross-connections
and does not impl_y the structure meets all Cit_y Codes.
White: Homeowner Yellow: City Pink: HRG