HomeMy WebLinkAboutSump Pump Inspections~
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Name:
City of Prior Lake
Sump Pump and I/I Reduction
Inspection Form ~Q,~,~~T'
~~/ ~,.G~`~~~~, /`1 ~ ~l~(l~ff~1 Date:7 `~~ ~~ Time%~Oa.m./p.m.
~,~' ,/ First I~n~sp~ect'on ~cond ~
Address: ~~~ ~~~~~ /~-- N'~ Own: B' Rent: Age of Home: ~,
Residential: ~ ~
~y .` .i ~y
Prior I~ake, MN 55 ~/~ Phone. 7`~5 ' ~~/~ Non-Residential: ~
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A. BASEMENT es ~~ o SUMP BASKET ~ 0 ~ 2 ~ 3 ~
WATER IN BASKET VaYes ~ No SiJMP ~P~ ~ 0 1~ 2- ~_ !3 Q
WATER IN BASEMENT (flow over floor) I~ Yes L~NO CISTERN O 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 ~ Laundry tub
at Inspection: O Floor drain
Prior to Inspection:
When w ystem installed, or most recently modified?
~ Sanitary sewer OL9~ utside
~ Other
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(Date) ~ ~ and why
Home came with system l~ Response to inspection program d Other
Q Water in basement L7 Previous syst gailed
B. ROOF LEADERS: ~ Yes NI~ o DISCHARGE: ~ Near ~ Away
C. YARD DRAINS ~ Yes " WINDOW WELLS ~ Yes ~t'1~To
BEAVER SYSTEM ~ Yes o
D. PROPERTIES WITH SUMP PUMPS
When does pump run? ~ Fall ~ Summer ~ Spring !/ ~ Winte
(check all that apply) How often does pump run? /'~~ /~ C U~~
V~here does pump discharge to outside? ~ Front O Back ' e
NOTES:
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SUMP PUMP SYSTEM: L~ASS ~ FAIL You have 30 days to bring your system into compliance with current
regu[ations. When you are ready for reinspection, call 651/644-1469 for an appointment.
Is there another place where clear water enters the sanitary sewer system? ~ Yes ~,..P~6'~+
Where is this location?
This area will need to ixed e clear w dis~rges to the storm sewer system.
Inspector: ~;/ ~ ~ `~----~"' Date: ~Y` -/ -~ ~ /
Resident f J=__ ~ Date: -/ 7--
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Disclaimer: This visual 'u(spection ~'done with due diligence to f'lnd obvious clear water cross-connections
and does not implv the structure meets all Citv Codes.
White: Homeowner Yellow: City Pink: HRG