HomeMy WebLinkAboutSump Pump InspectionZ
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Name: UV 4'~e~ ~~'~ ~ ~~v~ ~1 ~ ~G~
Address: ~~~~ ~r'/ ..S~~u~/v l p~~~~ Tr/ NF
Prior Lake, MN 55 ? 7~ Phone: ~"'~S'~~
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A. BASEMENT L'~'Yes ~ No SUMP BASKET ~~ 1 la 2~ 3 ~
WATER IN BASKET ~ Yes ~ No SUMP PUMP 13~0 ~ 1 ~ 2 ~ 3 Q
WATER IN BASEMENT (flow over floor) ~ Yes L~'No CISTERN Q Yes 13^~0
(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 ~ Outside
at Inspection: ~ Floor drain ~ Other
Prior to Inspection:
When was system installed, or most recently modified? (Date) and why
~ Home came with system Q Response to inspecti on program ~ Other
~ Water in basement Q Previous system failed
B. ROOF LEADERS: C~ Yes Q No DISCHARGE: C~''~Tear ~ Away
C. YARD DRAINS ~ Yes C'~No WINDOW WELLS ~ Yes C~''~To
BEAVER 5YSTEM ~ Yes C~t'No
D. PROPERTIES WITH SUMP PUMPS
When does pump run? ~ Fall Q Summer Q Spring ~ Winter
(check all that apply) How often does pump run?
V~here does pump discharge to outside? ~ Front O Back ~ Side
NOTES:
Inspector: ~ Date: ,~= ~ 9 y
Resident: Date: ~- P' ~ l 9
SUMP PUMP SYSTEM: C'f PASS O FAIL You have 30 days to bring your system into comp[iance with current
regulations. When you are ready for reirrspection, call 651 /644-1469 for an appointment.
Is there another place where clear water enters the sanita,ry sewer system? ~ Yes ~ No
Where is this location?
This area will need to be fixed so the clear water discharges to the storm sewer system.
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.
City of Prior Lake
Sump Pump and I/I Reduction
Inspection Form ~-~;~ f
Date: 1- d~ q 9 Time: Oo a.m./p.m.
First Inspection t~Second ~
Own: l~'~" Rent: ~ Age of Home: ~ 7
Residential: ~-
Non-Residential: ~
White: Homeowner
Xella~v;. City
Pink: HRG