HomeMy WebLinkAboutSump Pump Inspection~F PR~p~
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City of Prior Lake
Sump Pump and I/I Reduction
Ins~ection Form
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Name: d ~~~ ~~~G'~ Dat~'~"~9 Time~i.~~~a.m./p.m.
/~/ ~(~ //First Insp~e ' n ~'' Second ~
Address: ~c~'Y~U~O,~.~ % /v~~ Own: I~ Rent: ~ Age of Home: ~,
`/ Residential: t~''~.
Priar I,ake, MN 55 ~~i~ Phone:'7 ~~o"a ~! ~ Non-Residential: I~
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A. BASEMENT es ~ No~/ SUMP BASKET ~~~ ~ 1 ~ 2 ~ 3 ~
WATER IN BASKET ~ Yes ~'No SiJMP ~P~ L~ 0~ 1 ~ 2~ ~~'"~
WATER IN BA~EMENT (flow over floor) ~ Yes C9'No CISTERN O Yes Q~No
(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 O Sanita.ry sewer ~ Outside
at Inspection: ~ Floor drain L~ 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 O Prev' s system failed
B. ROOF LEADERS: ~~No DI5CHARGE: Q Near ~ay
C. YARD DRAINS a Yes C-4''N~ WINDOW WELLS O Yes @~'No
BEAVER SYSTEM 17 Yes I~NO
D. PROPERTIES WITH 5UMP PUMPS
When does pump run? ~ Fall ~ Summer ~ Spring L~ Winter
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(check all that apply) How often does pump run?
V~here does pump discharge to outside? a Front ~ Bac.l~.-- l~ Side
NOTES:
SUMP FUMP SYSTEM: 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 for an ent.
Is there another place where clear water enters the sanitary sewer system? ~ Yes NL~~'~ o~m
Where is this location?
This area will need to ix the clea a 'scharges to the storm sewer system.
Inspector: • Date: "
Resident: ., ; ~,~'~--,.~,c, .. ~ /f;~i~ ~ Date: ~.3-
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.
White; Homeowner Yellqw; City Pink: HRG