HomeMy WebLinkAboutSump Pump Inspectiont
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City of Prior Lake
Sump Pump and I/I Reduction
Inspection Form ,~o~ ~ ~-
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Name: Date. ~,.~Q Time. m./p.m.
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~7 ,.,~.- ~,~' First I tion C9~'~ ond ~
Address: ,~~~~~ ~ GC.(/~/.S~i4~ ~,~ (.) ~'~-~, Own:~q~~ent: t~ Age of Home: ~/ ~
.~i ~J` ~/ Residential: L~~ ~
Prior Lake, MN 55 ~/N Phone'~``ti'~"~~ Non-Residential: ~
A. BASEMENT ID~es ~ No 5UMP BASKET ~'`Q•~~ 1 Q 2 ~ 3 ~
WATER IN BASKET ~ Yes f~j~o SiJMP P L~J' 0 Q 1 ~ 2 ~~~ /3 '~
WATER IN BASEMENT (flow over floor) ~ Yes ~ CI5TERN ~ Yes 13~0 ~
(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 O Laundry tazb ~ Sanitary sewer lOutside
at Inspection: Q Floor drain ~ Other
Prior to Inspection: ~
When was system installed, or most recently modified? (Date) and why
~~ ~ Home came with system ~ Response to ins tion program ~ Other
O Water in basement ~ Previous sy m failed
B. ROOF LEADERS: ~ Yes No DISCHARGE: O Near ~ Away
C. YARD DRAINS ~ Yes I°~'~ WINDOW WELLS Q Yes I~~o
BEAVER SYSTEM ~ Yes ~1''No
D. PROPERTIES WITH SUMP PUMPS
When does pump run? ~ Fall ~ Summer ~ Spring Q Winter
(check all that apply) How often does pump run? -~'""
V~here does pump discharge to outside? l~ Front ~ Back ~~l Side
NOTES:
SUMP PUMP SYSTEM: ~ASS O FAIL You have 30 days to bring your system into compliance with current
regulations. When you are ready for reinspection, ca[[ 651 /644-1469 for an ointment.
Is there another place where clear water enters the sanitary sewer system? ~ Yes ~ No
Where is this location?
This area will need to be ed sg•t~1e clear wa~ di,se~arges to the storm sewer system.
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Resident:
Date: /~•.~~-
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