HomeMy WebLinkAboutSump Pump Inspection,~o
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City of Prior Lake
Sump Pump and I/I Reduction
~ Inspection Form
Name: ~~ V~v~ ti~~ ~,1° G ~ ~-- ~-~ r.~
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Address: ~~~~ ~D Sh~~y ~'~G~~ ~`/"f N~
Prior Lake, MN 55 _7 ~~ Phone: ~9G-.~ ~ d~
Date:~ Z~~ ~y Time: 6/~ a.m./p.m.
First Inspection L~'r~Second ~
Own: t3'"~ltent: ~ Age of Home: ?
Residential: ~`
Non-Residential: ~
w~, !40~
A. BASEMENT es a No SUMP BASKET ~~ 1 d 2 Q 3 17
WATER IN BASKET ~ Yes Q-#c~` SiJMP PiJMP C~#''b Q 1 ~ 2 ~ 3 O
WATER IN BASEMENT (flow over floor) a Yes ~o CISTERN ~ 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 i~ Sanitary sewer Q Outside
at Inspection: Q Floar drain ~ Other
Prior to Inspection:
When was systern installed, or most recently modified? (Date) and why
Q Home came with system ~ Response to inspection program ~ Other
17 Water in basement O Previous system failed
B. ROOF LEADERS: ~D No DISCHARGE: Q Near ~ay
C. YARD DRAINS ~ Yes l~'l~o WINDOW WELi.S _~ Yes ~ No
BEAVER SYSTEM ~ Yes ~-~Qo~
D. PROPERTIES WITH SUMP PUMPS
When does pump run? ~ Fall ~ Summer ~ Spring Q Winter
(check all that apply) How often does pump run? r,
V~here does pump discharge to outside? ~ I~ Front Q Back ~ Side
NOTES~
SUMP PUMP SYSTEM; ~l PASS ~ FAIL You have 30 days to bring your system into comp[iance with current
reguladons. When you are ready for reinspection, call 651 /644-1469 for an appointment.
Is there another place where clear water enters the sanitary sewer system? ~ Yes L~'iQ'o
Where is this location?
This area will need to be fixed so the clear water discharges to the storm sewer system.
Inspector:
Resident:
Date: ~ 2 ~ - 9',
Date: 7 - ~ 6 - 9
Disclaimer: This visual inspection is done with due diligence to find obvious clear water cross-connections
and does not unpl_y the structure meets all City Codes.
White: Homeowner Yellow: City Pink: HRG