HomeMy WebLinkAboutSump Pump Inspectiono~
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~ ~ City of Prior Lake
Sump Pump and I/I Reduction
Inspection Form
Name: ~~~ ~ ~~ , ~ c-~w ~~
Date: ~/~~ ~9- 9 y Time: ///S a.m./p.m.
Address: ~ ~~~~ ~~ '~~~ F~ Y ~,~ ~ ~ ~ 7r~ ~ /!/~
,
Prior Lake, MN 55 ~ 7.~ Phone: 4/~/!~-6yo ~
First Inspection t~ Second ~
Own: t~` Rent: ~ Age of Home:,_~ ~
Residential: I~'
Non-Residential: ~
~. r~.,~ i ; m ~ c
A. BASEMENT ~ Yes C~To ~ SiJMP BASKET C~0 l~ 1 L~ 2~ 3 ~
WATER IN BASKET ~ Yes ~ No 5iTMP PUMP 13'~0 ~ 1 ~ 2 ~ 3 ~
WATER IN BASEMENT (flow over floor) ~ Yes C3~No CISTERN ~ Yes L~'No
Discharge Point
at Inspection:
Prior to Inspection:
When was system installed, or most recently modified? (Date) and why
~ Home came with system ~ Response to inspection program ~ Other
~ Water in basement 17 Previous system failed
B. ROOF LEADERS: ~ Yes C~No DISCHARGE: ~ Near ~ Away
C. YARD DRAINS ~ Yes I~No WINDOW WELLS Q Yes ~ No
BEAVER SYSTEM ~ Yes ~''No
D. PROPERTIES WITH SUMP pUMPS
When does pump run? ~ Fall ~ Summer l~ Spring ~ Winter
(check all that apply) How often does pump run?
V~here does pump discharge to outside? ~ Front ~ Back ~ Side
NOTES:
SUMP PUMP SYSTEM: t~PASS ~ FAIL You have 30 days to bring your system into compliance with current
regulations. When you are ready for reinspection, cal[ 651 /644-1469 for an appointment.
Is there another place where clear water enters the sanitary sewer system? ~ Yes I~''1~10
Where is this location?
This area will need to be fixed so the clear water discharges to the storm sewer system.
Inspector: ~ Date: ~/. 1 S~ 9 y
Resident: ` Date: y- Z y- f y'
17 Laundry tub ~ 5anitary sewer Q Outside
~ Floor drain ~ Other
Disclaimer: This visnal inspection is done with due diligence to find obvious clear water cross-connections
and does not imply the structure meets all Cit_y Codes.
(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.)
White: Homeowner Yellow: City Pink: HRG