HomeMy WebLinkAboutSump Pump Inspectiona ~ PRxo
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City of Prior Lake '
Sump Pump and I/I Reduction
Ins~ection Form
~~' 7"
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Name: %~ , Date:T-'~.. ~,9 Time~ Qa.m./p.m.
~~~ . ~?'~ , /~/~~, ~~,/~~irst In~spe~c ' ~ ~ Second O . ~~
Address: ~~ `Uk Y Own: L~.'' Re_nt: /~ Age of Home.
~ Residential: L~~" ~
Prior L ke, MN 55~~~ Phone:~~~ ~~~~ Non-Residential: ~
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/~,/ UGC/ (;~f'~-~- r~
A. BASEMENT es ~ No~ SUMP BASKET O 0 1~ 2 O 3 ~
WATER IN BASKET ~ Yes o SiJMPCPiTNJP'" 0~ 1 ~ 2~ ~
WATER IN BASEMENT (flow over floor) ~ Yes ~~~I~o CISTERN ~ Yes o
(If na 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 i
Prior to I ection:
When as system installed, or most recently modified? (Date) and why
Home came with system ta Response to inspection program ~ Other
~ Water in basement ~ Previ system failed
B. ROOF LEADER5: ~o DISCHARGE: Q Near L4~wa
Y
C. YARD DRAINS [7 Yes ~~ N/o WINDOW WELLS ~ Yes ~~
BEAVER SY5TEM [7 Yes ~.~o
D. PROPERTIES WITH SUMP PUMPS
When does pump run? ~ Fall ~ Summer ~ Spri~ ~ Winter
(check all that apply) How often does pump run?
Where does pump discharge to outside? ~ Front ~ Back ~ Side
NOTES:
SUMP PUMP SYSTEM: N,!/'YASS ~ FAIL You have 30 days to bring your system into comp[iance with current
regulations. When you are ready for reinspection, call 651 /644-1469 for an appoi~~
Is there another place where clear water enters the sanitary sewer system? ~ Yes ~.~6~
Where is this location?
This area will need to ixeJl~the clear,~ovat~discharges to the storm sewer system.,
Inspector: • ' ~'"'~ '""''~ Date: _ " ~ ~ -J '
Resident: ` ~ : . ~ ~ ~.,,,._ Date: - .~ -
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 Yellow: City Pink: HRG