HomeMy WebLinkAboutSump Pump Inspection~
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City of Prior Lake
Sump Pump and I/I Reduction
Inst~ection Form
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Name: ~~~-~ . ~ ~~ m' ~~ Date: r ~~' . 09, p
~ First Inspection 13~ Second ~
Elddress: /~/o? ~d %/a ./~, ~?~.~~G~ %r/. /~/~ Own: 13'~ Rent: ~ Age of Home: l.~
Residential: ~'
Prior Lake, MN 55 3-7,~ Phone: ~ 6 3- D /.~ Non-Residential: ~
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A. ' BASEMENT L3'~es ~ No~ ~- SUMP BASKET ~ 0 ~~ 2 D 3 ~
WATER IN BASKET Q Yes C~No SUMP PUMP ~''0 ~ 1 ~ 2 O 3 ~
WATER IN BASEMENT (flow over floor) ~ Yes C~-?~o CISTERN ~ Yes L~"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 O Sanitary sewer ~ Outside
at Inspection: Q 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 ~ Other
~ Water in basement ~ Previous system failed
B. ROOF LEADER5: t3~es Q No DISCHARGE: C~ Near 17 Away
C. YARD DRAINS ~ Yes C~'~Vo WINDOW WELLS ~ Yes L~'1~o~
BEAVER SY5TEM I~ Yes ~'No
D. PROPERTIES WITH SUMP PUMPS
When does pump run? ~ Fall ~ Summer a Spring ~ Winter
(check all that apply) How often does pump run?
V~here does pump discharge to outside? d Front ~ Back ~ Side
NOTES:
SUMP PUMP SYSTEM: ~ PASS ~ FAIL You have 30 days to bring your system into compliance with currenl
regulations. When you are ready for reinspection, ca!! 651/644-1469 for an appoixtment.
Is there another place where clear water enters the sanitary sewer system? ~ Yes C~''No
Where is this location?
This area will need to be fixed so the clear water discharges to the storm sewer system.
Inspector: „/~ ~~ Date: ,S- ~ ~ 9 9
Resident: i~ i ' Date: ~~' ~ 9 y
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