HomeMy WebLinkAboutSump Pump Inspection
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City of Prior Lake
Sump Pump and I/I Reduction
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~~ Inspectlon Form ~,~,~~r
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Name: G(/~i~'~~~v~, ~~~~ ~ Date: ~~~'~9 Time~~Da.m./p.m.
_,. ~, ,,,,~,.,~ ,/ First Inspe tion ~cond ~ ,~/
Address: ~~~~ '~/~0~~ ~~ N~ Own: ~Rent: ~ Age of Home:'T~ Y~
~,/,"/ Residential: ~~ J
Prior Lake, MN 55 ~~~ Phone"77~~3 ~~ Non-Residential: 17
SUMP BASKET I~0/~
A. BASEMENT I~"Yes ~ No 1~ 2 ~ 3 O
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WATER IN BASKET ~ Yes o SUMP~~ ~P_~ I~~ O
ow 1 ~ 2~~~ /3-~
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Q
over floor) ~ Yes P~ No CISTERN
WATER IN BASEMENT (fl Yes L
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(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 ~ Sanitary sewer ~ Outside
at Inspection: ~ Floor drain ~ Other ' '
Prior to Inspection: -~
When was systern installed, or most recently modified? (Date) and why
~ Home came with system ~ Response to inspection program ~ Other
~ Water in basement ~ Previous system failed
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DISCHARGE
I~ Y
d N
ROOF LEADERS N
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B.
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WELLS
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Yes ~~ N/o ' WINDOW
C. YARD DRAINS
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~ Yes 13
BEAVER 5YSTEM
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D. PROPERTIES WI
SUMP PUMPS
When does pump run? ~ Fall a Summer Q Spring ~ Winter
(check all that apply) How often does pump run? -
V~here does pump discharge to outside? ~ Front O Back
~ ~ Side
NOTES:
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SUMP PUMP SYSTEM: ~ASS ~ FAIL You have 30 days to bring your system into comp[iance with curre -
regulations. When you are ready for reinspection, call 651/644-1469 for an ntment.
Is there another place where clear water enters the sanitary sewer system? O Yes No
Where is this location?
This area will need to be ed e clear w~r d~charges to the storm sewer system.
I Inspector: • ~'.2~` `~~~ ``'~`.--~ Date: '`~_ /O -_ °~ 9~ I
Resident: , (j~ // , / Date: /o
Disclaimer: This visual i~(s~pection is done with due diligence to find obvious clear water cross-connections
and does not imulv the structure meets all Citv Codes.
White: Homeowner Yellow: City Pink: HRG