HomeMy WebLinkAboutSump Pump Inspection~a
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City of Prior Lake
Sump Pump and I/I Reduction
ection Form
Name: ~ S~ 0 1~ ~~ ,_.J °~~~- ~ Z~~~~ Date: ~- / ~- y y Time:~a.m./p.m.
First Inspection [~Second 17
Address: ~ S `~~`~ ~~, ~ -~; f ~ ~r ~ ,s~ Own: C#~"'Rent: ~ Age of Home:~rf ,
Residential: l~"'~
Prior Lake, MN 55 ,~ 7~ Phone: ~/~~y Non-Residential: ~
l..~A ~K a tw~"
A. BASEMENT ~YYes a No SUMP BASKET ~ 0 ~~ 2~ 3 ~I
WATER IN BASKET ~s ~ No SUMP PiJMP ~~ 1 Q 2 ~ 3 ~
WATER IN BASEMENT (flow over floor) ~ Yes ~~~To CISTERN ~ 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 l7 Sanitary sewer ~ Outside
at Inspection: Ca Floor drain ~ Other
Prior to Inspection:
When was system installed, or most recently modified? (Date) and why
O Home came with system a Response to inspecti on program ~ Other
Q Water in basement ~ Previous system fail ed
B. ROOF LEADERS: 13"Yes ~ No DISCHARGE: ~ Near ~y
C. YARD DRAINS ~ Yes I~~ WINDOW WELLS ~ Yes C3~"N"o
BEAVER SYSTEM ~ Yes ~-~Qo"~
D. PROPERTIE5 WITH SUMP PUMPS
When does pump run? ~ Fall ~ Summer O Spring ~ Winter
(check all that apply) How often does pump run?
Where does pump discharge to outside? O Front ~ Back ~ Side
NOTES:
SUMP PUMP SY5TEM: @''"PASS ~ FAIL You have 30 days to bring your system into compliance with current
regu[ations. When you are ready for reinspection, ca[l 651 /644-1469 for an appointment.
Is there another place where clear water enters the sanitary sewer system? Q Yes L~''1~0
Where is this location?
This area will need to be fixed so the clear water discharges to the storm sewer system.
Inspector: uti Date: '~ -/ 7-~ y
Resident: ~ ~ ,.r.,..,,...,,.. Date: -~_ ~ ~ - ~~y _
Disclaimer: This visual in~spection is done with due diligence to f'ind obvious clear water cross-connections
and does not imnlv the structure meets all Citv Codes.
White: Homeowner Yellow: City Pink: HRG