HomeMy WebLinkAboutSump Pump Inspection~~
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City of Prior Lake
Sump Pump and I/I Reduction
ection Form
Name: ~\t~vt~Pl=~ ~~ ~~-~~~it
Address: ~i ~~ i ~~ ~'~P ~r ~. l~ ~
Prior Lake, MN 55 ;~~ Phone: ~~~/- ~l ;~ 70
Date: ~- ~~ 9~ Time: 1° ~ a.m./p.m.
First Tnspection E~ Second C7
Own: ~'" Rent: O Age of Home:~_
Residential: A'
Non-Residential: ~
~u~-~ t. ~
A. BASEMENT S'Yes ~ No SUMP BASKET l~ 0 C~ 1~, 2~ 3 ~
WATER IN BASKET ~ Yes 13~Vo SUMP PUMP ~'0 ~ 1 ~ 2 ~ 3 O
WATER IN BASEMENT (flow over floor) Q Yes Q"I'~o CISTERN ~ Yes Q'~
(If no pum~, 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 Q Sanitary sewer l7 Outside
Q Floor drain ~ Other
Prior to Inspection:
When was systern installed, or most recently modified? (Date)
a Home came with system ~ Response to inspection program ~ Other
a Water in basement ~ Previous system failed
B. ROOF LEADERS: [~Yes ~ No
C. YARD DRAINS ~ Yes L'l~No
BEAVER SYSTEM ~ Yes l~'No
and why
DISCHARGE: ~ Near ~1'~Away
WINDOW WELLS l'~ Yes C-1''l~To
D. PROPERTIES WITH SUMP PUMPS
When does pump run? ~ Fall ~ Summer
(check all that apply) How often does pump run?
V~here does pump discharge to outside? I~ Front
NOTES:
~ Spring ~ Winter
~ Back L7 Side
SUMP PUMP SYSTEM: PASS ~ FAIL You have 30 days to bring your system into compliance with current
regu[ations. When you are ready for reinspection, cal[ 651/644-1469 for an appointment.
Is there another place where clear water enters the sanitary sewer system? Q Yes ~"1~10
Where is this location?
This area will need to be ~xed so the clg~r water discharges to the storm sewer system.
Inspector:
Resident:
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Date:
Date:
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- ~,
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: Hoc~eowner Yellow: City Pink: HRG