HomeMy WebLinkAboutSump Pump InspectionCity of Prior Lake
Sump Pump and I/I ~eduction
CG 7~~0~./
Inspection Form ,~;~~)~
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/~'O ~~~ Dat~.1-~~ ~ Time/ // ~.m./p.m.
~~~~0~~~ ~~ `/~ First In~sp~ec n 0~ Second ~
Address: ~~ ~ ~ Own: I~ Rent: ~ Age of Home: ~ S
~ !~~~ ~~ Residential: ~~ ~
Prior Lake, MN 55 ~~~ Pho e~/~""~ ~i..J Non-Residential: ~
A. BASEMENT es~ ~~ o SUMP BASKET ~ 0 ~ 1 I~~~, 3~
WATER IN BASKET I~'Yes ~ No SiJMP P O 0 ~ 1 L~7'"2~ ~~ /3-~
WATER IN BASEMENT (flow over floor) ~ Yes ~ CISTERN O Yes Q-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. ) ~p ~'~ p~'
.~O s~ ~ .
Discharge Point 17 Laundry tub ~1 Sanitary sewer utside
at Inspection: Q Floor drain I~ Other
Prior to Inspection: ~ S~ D~ ~~~~
n was s stem installed or most recent odified? Date ~~ ~ ~~~ ~~ ~:nfl wh
Whe y , ( ) Y
~ Home came with system esponse to inspection program ~ Other
~ Water in basement d Previous syste failed
~
NOTES: (~ti-/ ~-~~-•~ ~ f~ ~-•---•---•-•-----•-•-----•-•-•---•-----•---•--
-• f•- -•- - -- _ _
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B. ROOF LEADERS: L'7 Yes o DISCHARGE: ~ Near O Awa _
C. YARD DRAINS ~ Yes ~~~ WINDOW WELLS L4''Yes Q No
BEAVER 5YSTEM la Yes D~ N o
D. PROPERTIES WITH SUMP PUMPS
When does pump run? 17 Fall umm,r ~,,,~ri~~ ~A Win r
(check all that apply) How often does pump run. 7 "
Where does pump discharge to outside? a Front ~ Back e
~
SUMP PUMP SYSTEM: Q]~ASS ~ 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 appoi ent.
Is there another place where clear water enters the sanitary sewer system? ~ Yes
Where is this location?
This area will need to b ixed e clear w,~er~harges to the storm sewer system.
.~ ~-
Inspector: _ ;/'"C~~' Date: ~
Resident: ~, _ ~ Date• .Z.S =-
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.
White: Homeowner
Yellow: City
Pink: HRG