HomeMy WebLinkAboutSump Pump Inspection^, h-~~ ~:~
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City of Prior Lake
Sump Pump and I/I Reduction
ection Form
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Name:~ ;~/~~~ ~Q~~/~~-~D Date~`~~ ~i~ Time/~L~~a.m./p.m.
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/,/ ~~ ,,--, ~~ ` First Insp~ ion Second Q
Address:,/'`~`~~Q (~/~~9.U~ ~~"/~Cl~r 0~= Own: ~' Rent: Age of Home:y3
,,~ Residential: ~ N~=~
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Prior Lake, MN 55 ~ i~' Phone:'~!'Y~.S '~~ ~ Non-Residential: Q J y~
A. BASEMENT I~'Yes ~ No~ ~~ SUMP BASKET L~~~6~~ 1~ 2 ~ 3 ~
WATER IN BASKET Q Yes ~-~"0 5IJMP P ~'0 ~ ~1 ~~ ~ 3 Q
WATER IN BASEMENT (flow over floor) ~ Yes ~ 3~~~STERN ~ e s ~ No
(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
at Inspection:
~ Laundry tub ~ Sanitary sewer ~ Outside
O Floor drain ~ Other ~
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Prior to Inspection:
When system installed, or most recently modified? (Date) and why
Home came with system Q Response to inspection program ~ Other
O Water in basement ~ Prev' us system failed
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B. BOOF LEADERS: ~~'~~ ~ es ~ No DISCHARGE: Q Near way
C. YARD DRAINS ~ Yes Q~' N o WINDOW WELLS O Yes L~ N o
BEAVER SYSTEM d Yes ~
D. PROPERTIES WITH SUMP PUMPS
When does pump run? O Fall ~ Summer ~ Spring O Winter
(check all that apply) How often does pump run? ''~
V~here does pump discharge to outside? l~ Front Q Back "[7 Side
NOTES:
SUMP PUMP SYSTEM: ~ASS ~ FAIL You have 30 days to bring your system into compliance with curre
regulations. When you are ready for reinspection, ca11651 /644-1469 for an ntment.
Is there another place where clear water enters the sanitary sewer system? ~ Yes o
Where is this location?
This area will need to be~e~ the clea~at~~scharges to the storm sewer system. _ _
Inspector; ~ ' y~ - ``~----~'` Date: ,FG -'`~' ` ~ `~
Resident: ` ; ; , ~ ~ ' ~ Date: -~`-/~ ~ ~
Disclaimer: This visual inspection is done with due diligence to find obvious clear water cross-connections
and does not imnlv the structure meets all Citv Codes.
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White: Homeowner Yellow: City Pinkc HRG