HomeMy WebLinkAboutSump Pump Inspection~~ ~ aF PRIp~1
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City of Prior Lake
Sump Pump and I/I Reduction
ion Form
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Address: ~ _~ 3 ?; ~ ~ ~ ~r
Prior Lake, MN 55 ; 7,,? Phone: ~/`~~ -~"7~17
Date: ,~ ' '~"`l~ ~ Time: //LS a.mJp.m.
First Inspection ~ Second ~
Own: Q` Rent: ~ Age of Home: ~,L~
Residential: ~
Non-Residential: ~
,,,.i~ / U~ T
A. BASEMENT es ~ No SUMP BASKET ~ O 1 ~ 2 ~ 3 ~
WATER IN BASKET ~ Yes ~o SUMP PUMP I~0 ~ 1 ~ 2 ~ 3 O
WA1'ER IN BA5EMENT (flow over floor) ~ Yes ~To CISTERN ~ Yes 13'iQ'"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:
~ Laundry tub ~ Sanitary sewer ~ Outside
O Floor drain 17 Other
Prior to Inspection:
When was system installed, or most recently modified? (Date
D Home came with system
17 Water in basement
B. ROOF LEADERS:
C. YARD DRAINS
BEAVER SYSTEM
and why
~ Response to inspection program ~ Other
f7 Previous system failed
C~Yes ~ No DISCHARGE: I~'"~1ear ~! /Away
/ // / 4 !
~ Yes ~'I No WINDOW WELLS ~ C3'`~es ~ No
~I Yes L~No
D. PROPERTIES WITH SUMP PUMPS
When does pump run? ~ Fall a Summer ~ Spring ~ Winter
(check all that apply) How often does pump run?
V~here does pump discharge to outside? ~ Front a Back ~ Side
NOTES:
SUMP PUMP SYSTEM: PASS ~ FAIL You have 30 days to bring your system into comptiance with current
regulations. 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 C-f"No
Where is this location?
This area will need to be fixed so the clear water discharges to the storm sewer system.
Inspector: ~ Date: ~- ~"~ 7 l
Resident: Date: ~ - ~- ? y
Disclaimer: This visual inspection is done with due diligence to find obvious clear water cross-conneetions
and does not imnly the structure meets all Gity Codes.
White: Homeowner Yellow: City Pink: HRG