HomeMy WebLinkAboutSump Pump Inspection~~ ~~ PRIpfP
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City of Prior Lake
Sump Pump and I/I Reduction
ection Form ~~,~ ~ ~
Name: ~~sd~ ~i~/~~ Date:~~ 9~ Time:d/~.m./p.m.
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First Inspe 'on L~' Second 17
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Address: s~~J~ / ~~~•~/~ ~~ U 7~ 1~,~. Own: ~ent: - Age of Home: ~~
esidential: ~ ~
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Prior Lake, MN 55 ~~i/ Phone: Non-Residential: ~
A. BASEMENT ~s ~ No~ / SiJMP BASKET I~_~0 1 O 2 ~ 3 ~
WATER IN BASKET O Yes [~No SiJMP -P~ I~0 ~ 1 ~ 2~ ~~ ~
WATER IN BASEMENT (flow over floor) ~ Yes ~•~ Q O CISTERN O Yes C~' 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 l7 Outside
at Inspection: ~ Floor drain ~ Other -'
Prior to Inspection: .-~'
When was system installed, or most recently modified? (Date) and why
17 Home came with system ~ Response to inspection program Q Other ~ ~
~ Water in basement ~ Previous syste~p failed
B. ROOF LEADERS: Cl Yes ~iP~o / DI5CHARGE: O Near ~ Away
C. YARD DRAINS ~ Yes L z~Y N ~o WINDOW WELLS Q Yes E~''No
BEAVER SYSTEM ~ Yes ~1Vo
D. PROPERTIES WITH SUMP PUMPS
When does pump run? C] Fall ~ Summer
(check all that apply) How often does pump run?
V~here does pump discharge to outside? ~ Front
NOTES:
17 Sprin ~ Winter
~ B~k ~ Side
SUMP PUMP SYSTEM: ASS ~ FAIL You have 30 days to bring your system into compliance with current
regulations. When you are ready for reinspection, ca[! 651 /644-1469 for an appointment.
Is there another place where clear water enters the sanitary sewer system? ~ Yes L~~1Vo
Where is this location?
This area will need to be d s~ clear wate is~k~ges to the storm sewer system.
Inspector: -
Resident: . . ~ , : `^r t ,
Date: /--34- ~9
Date: /- O-~
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