HomeMy WebLinkAboutSump Pump Inspection~F PRIp~
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City of Prior Lake
Sump Pump and I/I Reduction
Inspection Form ~,~~ J ~'
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Name • ~~,C~ / ~ ~- Da~e' ~ ~ Tim~ a m / m
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~ ,(~ ~, ~..-~' ---- First In~spe~c ' `~" 'B'" Second ~ ~f
Address:~,~'~j~~~~-J~~~ ~f~- ~~ Own: ~" Rent: 0 Age of Home: /,
~~/, /,/ ~y' /;.- Residential: f~ ~
Prior L~lce, MN 55 ~~~ Phone. ?`7`J "'~/'~~ Non-Residential: ~
.,. ~.. --~ --, ...
A. BASEMENT es O No~ SUMP BAS Q 1~ 2 Q 3 ~
WATER IN BASKET ~ Yes o SUMP P 0 Q 1 O 2 ~ 3~
WATER IN BASEMENT (flow over floor) Q Yes o CISTERN ~ Yes ~o
(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
at Inspection:
B.
C.
D.
NOTES:
Q Spring ~ Winter
..~-''""
~ Back ~ Side
SUMP PUMP SYSTEM: ~''~PASS ~ FAIL You have 30 days to bring your system into compliance with current
regulations. When you are ready for reinspection, cal! 651 /644-1469 for an ent.
Is there another place where clear water enters the sanitary sewer system? ~ Yes o
Where is this location?
This area will need to be ed ~e clear wa~ff di~arges to the storm sewer system.
Inspector: %GCa~- ~''`---° Date: ~,,~ -.G %-
Resident: 1 ., ~ .,~o,/,;_.,. Date: ~-_~sZ 7'-
Prior to pection:
Whe as system installed, or most recently modified? (Date)_
Home came with system ~ Response to inspection program
~ Water in basement D Previ system failed
ROOF LEADERS:
YARD DRAINS
BEAVER SYSTEM
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.
~ Laundry tub ~ Sanitary sewer O Outside
~ Floor drain ~ Other ~"
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and why
a Other
~
es ~ No DISCHARGE: ~ Near way
O Yes ~~ WINDOW WELLS ~ Yes I~~P"o
L~ Yes ~ No
PROPERTIES WITH SUMP PUMPS
When does pump run? ~ Fall ~ Summer
(check all that apply) How often does pump run?
Where does pump discharge to outside? ~ Front
White: Homeowner Yellow: City Pink: HRG