HomeMy WebLinkAboutSump Pump Inspection~ ~~ ~ ~i
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City of Prior Lake
Sump Pump and I1I Reduction
ection Form
Name: ~ ~AU S~h, L-~ r~'~
Address: l~ 53y S~r~ 1. ~
Prior Lake, MN 55 37,~.. Phone: t~~/.~~-7 SBb
Date: 3_'S'1 ~ Time:/4.'o0~/p.m.
First Inspection (a'' Second ~
Own: ~` Rent: Q Age of Home:Q~ y r S
Residential: ~--"'" ~
Non-Residential: Q
A. BASEMENT ~'1'es ~ No~~ SUMP BASKET ~ l~ 1 Q 2~ ~ 3 C1
WATER IN BA5KET C7 Yes G~'No SUMP PUMP tt~0 O 1 ~ 2 ~ 3 ~
WATER IN BA5EMENT (flow over floor) D Yes ~ CISTERN ~ Yes I~1.PIe~
(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 Q Other
Prior to Inspection:
When was system installed, or most recently modified? (Date) and why
Q Home came with system ~ Response to inspection program ~ Other
O Water in basement Q Previous system failed
B. ROOF LEADERS: O Yes ~ No DISCHARGE: ~ Near ~ Away
C. YARD DRAINS ~'~N ' WINDOW WELI.S
Q Yes t ~ Yes ~fo
BEAVER SYSTEM ,
~ Yes ~'"NO
D. PROPERTIES WITH SUMP PUMPS
When does pump run? a Fall ~ Summer ~ Spring Q Winter
(check all that apply) How often does pump run?
V~here does pump discharge to outside? Q Front Q Back ~ Side
NOTES:
SUMP PUMP SYSTEM: ~' PASS ~ FAIL You have 30 days to bring your system into compliance with current
regulations. When you are ready for reinspection, ca11651 /644-1469 for an appointmera.
Is there another place where clear water enters the sanitary sewer system? 17 Yes ~'l~o
Where is this location?
This area will need to be fixed so the clear water discharges to the storm sewer system.
Inspector: Date: 3- ~/'- ~~
Resident: - , Date: ~, _ ~~_~ (a
Disclaimer: This visual inspection is done with due diligence to find obvious clear water cross-connections
and does not im 1 the structure meets all Cit Codes.
White: Homeowner Xellow: City Pink: HRG