HomeMy WebLinkAboutSump Pump Inspection~Q aF PRtp
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City of Prior Lake
Sump Pump and I/I Reduction
ection Form
Name: ~~ ~ ~ i ~ ~+~ ~ .; , /~ -~~ U Date: 7- ~? ~- 9 y Time: c~~ a.m./p.m.
First Inspection C~J"~Second 17
Address: ~~~s'; ~, ~/~ ~/ ~ N~ Own: ~ Rent: ~ Age of Home: ~~ ~
Residential: C~I'`
Prior Lake, MN 55.3 ~7.~ Phone: ~~~ -~7~;~?l Non-Residential: ~
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A. BASEMENT ~s ~ No SUMP BASKET C~'"~~ 1~ 2 O 3 ~
WATER IN BASKET ~ Yes ~'6 5LTMP PUMP ~~ ~ 1 ~ 2 ~ 3 ~
WATER IN BASEMENT (flow over floor) C] Yes 17 No CISTERN O Yes I~~S"
(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 C] Sanitary sewer Q Outside
at Inspection: a Floor drain ~ Other
Prior to Inspection: .
When was system installed, or most recently modified? (Date) and why
O Home came with system O Response to inspection program Q Other
~ Water in basement ~ Previous system failed
B. ROOF LEADERS: 17 Yes L~No DISCHARGE: O Near Q Away
C. YARD DRAINS ~ Yes 13'~ WINDOW WELLS ~ Yes l~-~
BEAVER 5YSTEM ~ Yes ~r
D. PROPERTIES WITH 5UMP PUMPS
When does pump run? ~ Fall ~ Summer ~ Spring 17 Winter
(check all that apply) How often does pump run?
V~here does pump discharge to outside? ~ Front ~ Back O Side
NOTES: ~~~,~,,'Cy,~~--~~------~r~ ;,~---~', fe----- -T_~- ~{---~ r~~s~---~----~~y l, jG l`
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SUMP PUMP SYSTEM: ~J PASS ~ FAIL You have 30 days to bring your system into compliance with current
regulations. When you are ready for reinspection, call 651 /644-1469 fo'r an appointment.
Is there another place where clear water enters the sanitary sewer system? ~ Yes ~'o
Where is this location?
This area will need to be fixed so the clear water discharges to the storm sewer system.
Inspecto . '~ Date: - ? - 99
Reside Date: ~ 6 `
Disclaime This ' ual inspection is done with due diligence to find obvious clear water cross-connections
and does nof ` ulv ~he structure meets all Citv Codes.
White: Homeowner Yellow: City Pink: HRG