HomeMy WebLinkAboutSump Pump Inspection~-
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Name
City of Prior Lake
Sump Pump and I/I Reduction
Insnection Form
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Address: ~~~~ ~~~~~ ~~ ~~
Prior I,ake, MN 55 ~~.~J Phone: 7''~`~ '.~~~
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Date~"~~`9~ Tim~.3~ ~a.m./p.m.
First In~~s~~p~e 'on IzY" Second ~
Own: lH' Rent: ~ Age of Home:Z~ ;
Residential: ~ ~
Non-Residential: ~
A. BASEMENT ~s ~ No~,~'~ 5UMP BASKET ~,~~ 1 ~ 2 ~ 3 ~
WATER IN BASKET ~ Yes ~'No SiJMP P~ Q 0 ~ 1 ~ 2~ ~~ ~
WATER IN BASEMENT (flow over floor) ~ Yes L~~'No CI5TERN I~ Yes L~'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 d Laundry tub l~ Sanitary sewer ~ Outside
at Inspection: ~ Floor drain I~ Other ~~
, 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
B. ROOF LEADERS:
C. YARD DRAINS ~ Pre .ious system failed
C4~'Yes ~ No DISCHARGE: ~ Near
N/O WINDOW WELI,S O
~ Yes L~
f~'"Away
Yes ~IVo
BEAVER SYSTEM `
~ Yes I~NO
D. PROPERTIES WITH SUMP PUMPS
When does pump run? ~ Fall ~ Summer ~ Spring--- ~ Winter
(check all that apply) How often does pump run?
V~here does pump discharge to outside? a Front ~ Back ~ Side
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NOTES:
f~
SUMP PUMP SYSTEM: ~ASS ~ FAIL You have 30 days to bring your system into compliance with current
reguladons. When you are ready for reinspection, cal[ 651/644-1469 for an ap , inlment.
Is there another place where clear water enters the sanitary sewer system? ~ Yes LzYNo
Where is this location?
This area will need to fixeyl~ the cleay~vat~lischarges to the storm sewer system.
I Inspect~~~,/~ ~ ~ Date: ..~ '~Co- y~' I
Reside t:_,_~ ~ Date: - 2 ~ -
Disclaimer: ~'his visual inspection is done with due diligence to find obvious clear water cross-connections
and does not imnlv the structure meets all Citv Codes.
White: Homeowner Yellow: City Pink: HRG