HomeMy WebLinkAboutSump Pump Inspection,C~j~
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U~ ~ City of Prior Lake
Sump Pump and I/I Reduction
Inspection Form ~~,~~~-
Name: (,~,~,G V~i~ ~,~r~, ~•~~~,~G~„C~~ Date~ ~..~'yy Time~~~~mJp.m.
~~ ~''~ ~~~ ~~~, r First Insp~ction ~nd ~
Address: ~ I o~ ~CJ ~ Own: t~'~ Rent• Age of Home:
s~ ~ ~ ~/ Residential: ~
Prior Lake, MN 55 ~,7 ~,~,~ Phone":>'y~~~~~ Non-Residential: ~
A. BASEMENT t~Yes ~ No~,/~ SUMP BASKET ~~~ 1 I~ 2~ 3 O
WATER IN BASKET ~ Yes L~!'No SiJMP_~P_~~ D 0 ~ 1 ~ 2 ~,3 O
WATER IN BASEMENT (flow over floor) ~ Yes ~' N o CISTERN ~ Yes A' 1 Vo
(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.)
Prior to Inspection: --~
t t When was system installed, or most recently modified? (Date) and why
~ Home came with system
~ Water in basement
B. ROOF LEADERS:
C. YARD DRAINS
BEAVER SYSTEM
I~ Response to inspection program ~ Other
~ Previous system failed
Yes ~ No DI5CHARGE: O Near L9'Away
~ Yes ~1~ WINDOW WELL5 Q'~Yes O No
~ Yes ~1VO
D. PROPERTIES WITH 5UMP 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 d Side
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NOTES:
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SUMP PUMP SYSTEM: ~ASS ~ FAIL You have 30 days to bring your system into compliance with current
regulations. When you are ready for reinspection, call 651/644-1469 for an appointmera.
Is there another place where clear water enters the sanitary sewer system? ~ Yes 19'No
Where is this location?
This area will need to fix~o the c~ar wpt~r discharges to the storm sewer system.
Inspector:~,~-'~-/ .~~'~~"°"'; ...'__ __ Date: J - i..s _
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.
Discharge Point ~ Laundry tub ~ Sanitary sewer ~ Outside
at Inspection: ~ Floor drain ~ Other ~
White: Homeowner Yellow: City Pink: HRG