HomeMy WebLinkAboutSump Pump Inspection1
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City of Prior Lake
Sump Pump and I/I Reduction
Insnection Form
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Name: ~`~'~ ~'~~~~ ~ ~/~ ~ Date:~-~~y~`~ Timef-7~da.mJp.m.
~ ~g C~s~,(.~~0 ~,,. First Inspection Lti3'" Second ~
A~lress:/"Y ~.7 ~ ~.Q N ~wn: ~'''Rent: ~ A~e ~f Home:
~y ,,7 Residential: 1.7~'~
Prior Lake, MN 55,-~ /~ Phone: -"' Non-Residential: ~
A. BASEMENT ~ Yes L9'l~To~/ SUMP BASKET L~__l'"0~ 1~ 2 I~ 3~
WATER IN BASKET ~ Yes ~'No SiJMP _P~~ d~'0 Q 1 ~ 2~ 17~ ~3 O
WATER IN BASEMENT (flow over floor) ~ Yes L 9' N o CISTERN ~ Yes ~- 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 Q Outside
at Inspection: ~ Floor drain ~ Other "~
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Prior to Inspection:
When was system installed, or most recently modi~ed? (Date) and why
17 Home came with system Q Response to inspection program ~ Other
~ Water in basement ~ Previous system failed
B. ROOF LEADERS: ~ Yes 19~'No DISCHARGE: ~ Near ~ Away
C. YARD DRAINS ~ Yes L~~Y_~N WINDOW WELLS ~ Yes ~-~id'S"'~
BEAVER SYSTEM O Yes t~No
D. PROPERTIES WITH SUMP PUMPS
When does pump run? ~ Fall ~ Summer O Spring ~ Winter
(check all that apply) How often does pump run? ~
V~here does pump discharge to outside? 17 Front ...A Back ~ Side
NOTES:.-•-•-•-•---•--~<"1 ~7~~ ~O 7~-•-•-•-•-•-•---•---•-•-•---------•-•-•-------•-•-•-•-•----
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 ~ No
Where is this location?
This area will need to b ix so the clear ter s~arges to the storm sewer system.
I Inspector~ ~~~~ ~~~ ~'""''~ Date: ,~ :~~' ~y' ~
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.
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White: Homeowner Yellow: City Pink: HRG