HomeMy WebLinkAboutSump Pump Inspection_
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City of Prior Lake
Sump Pump and I/I Reduction
Inspection Form ,~?,~,~~~
Name: ~i~~~~~j ~,~~~~~' ~ Date~~~~~ TimPe~'7~Qa.m./p.m.
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/'/ / ~ ,/ --First In__sp~e on L9'' Second ~ ~ Z
Address: /"~~ ~S~' ~as~~~~ ~~ /~'~ Own: @~' Rent: Age of Home: 2/
~.. // ~,./ Residential: ~
Prior I~ake, MN 55~~~ Phone^i 9~ ~~~° Non-Residential: ~
~~,,,. - - _ ,_ _
A. BASEMENT es~ ~~~1o SUMP BASKET ~ 0 ~ 2 ~ 3 Q
WATER IN BA5KET ~'Yes ~ No SiTMP~I~~ a 0 1~ 2~ a
WATER IN BASEMENT (flow over floor) ~ Yes o CISTERN ~ Yes 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 llYOutside
at Inspection: ~ Floor drain I~ Other
Prior to I ection:
When as system installed, or most recently modified? (Date) and why
Home came with system ~ Response to inspection program ~ Other
Q Water in basement ~ Previous sys failed
B. ROOF LEADERS: a Yes L~~~ DISCHARGE: O Near O Awa
Y
C. YARD DRAINS ~ Yes ~~~~_~"N~ WINDOW WELLS ~ Yes~~o
BEAVER SYSTEM ~ Yes C~'NO
D. PROPERTIES WITH SUMP PUMPS ~ ~ ~_~~
When does pump run? ~ Fall f9~'SSummer ~" Sprin d Winter
(check all that apply) How often does pump run? l~ F r~ ~ AinJ ~~_ ~''~ r
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V~here does pump discharge to outside? ~ Front d Back e
NOTES:
SUMP PUMP SYSTEM: ~'YASS ~ FAIL You have 30 days to bring your system into compliance with current
regulations. When you are ready,jor reinspection, ca[[ 651 /644-1469 for an appointment.
Is there another place where clear water enters the sanitary sewer system? ~ Yes C~1Vo
Where is this location?
This area will need to xe~~e clear w~er discharges to the storm sewer system.
Inspector:
Resident:
Date: 'y~'
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.
'2S
White: Homeowner Ye11ow: City Pink: HRG