HomeMy WebLinkAboutSump Pump Inspection~~
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City of Prior Lake
Sump Pump and I/I Reduction
Insnection Form
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~ Name: C~~~~S ~ i"''f ,~9,~',~ ~ Dat~ ~~ g~ Time~~a.m./ .m.
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.~'/ (1~~, ~ .~ , J First In~sp~ on ~ Second ~ '
Address: ~~~'o~i' 9~~.~ ~~~~k~ /~ ~~~ Own: LLJ' Rent: ~ Age of Home:~
s~`/~/.y Residential: ~ ~
Prior Lake, MN 55 ~1 ~~ Phone: ~`'>'" /"~~ Non-Residential: D
A. BASEMENT ~Yes ~ No~ SUMP BASKET 19~Sy'~ 1 I~ 2~ 3 ~
WATER IN BASKET IJ Yes No SiJMP P L"~J~O ~ 1 ~ 2- ~~'' ~
WATER IN BASEMENT (flow over floor) ~ Yes ~O CISTERN ~ Yes ~'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
at Inspection:
~ Laundry tub ~ Sanitary se`wer C7 Outside
~ Floor drain ~ Other
Prior to Inspection:
When was systern installed, or most recently modified? (Date) and why
~ Home came with system Q Response to inspection program ~ Other
t7 Water in basement IJ Pre ~" s system failed
B. ROOF LEADERS: L~ Yes Q No DISCHARGE: ~ Near L9''Away
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C. YARD DRAINS WINDOW WELLS
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~ Yes es ~ No
BEAVER SY5TEM ~
17 Yes t'~" No
D. PROPERTIES WITH SUMP PUMPS
When does pump run? ~ Fall ~ Summer ~ Spring ~ Winter
(check all that apply) How often does pump run? ~
Vi~here does pump discharge to outside? ~ Front ~ Back ~ Side
NOTES:
SUMP PUMP SYSTEM: ~ASS Ca FAIL You have 30 days to bring your system into compliance with current
regutations. When you are ready for reinsptction, call 651 /644-1469 jor an appouument.
Is there another place where clear water enters the sanitary sewer system? l~ Yes a•'!vo
Where is this location?
This area will need to be e~.he clea~wa~ischarges to the storm sewer system.
I Inspector: ~ %~" "'" Date: ~'~~- 7~ I
Resident: ~ ~p~ti Date: - /-
Disclaimer; This visual inspection is done with due diligence to find obvious clear water cross-conneetions
and does not imply the structure meets all City Codes.
White: Homeowner Yellow: City Pink: HRG