HomeMy WebLinkAboutSump Pump Inspection~ ~;- QF PRIp~
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City of Prior Lake
Sump Pump and I/I Reduction
Inspection Form ~,~,~ ~ ~'
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Name: /~ ~~/~~~~! ji~~~~~~ ~ Date~ ~~~~% Timer'~~~a.mJp.m.
;,~~/I/ .~-~ ~ First In~sp~e °on ~'" Second O
Address: ~L~' T'~~ ~~"cf~~~~~~ /~ ~ Own: 19" Rent: Age of Home:
~y ~~ Residential: ~
Prior L~lce, MN SS ~/~ Fhone7 "~~~'`~~~ Non-Residential: ~
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A. BASEMENT es ~ SLJMP BASKET ~ /0 ~ 2 ~ 3 L~
WATER IN BASKET es, ~ No SiJMP ~P~ P ~'0 ~ 1 ~ 2~ O~ ~
WATER IN BASEMENT (flow over floor) ~ Yes L'~ No CI5TERN ~ Yes I~'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 17 Sanitary sewer ~~ Outside
at Inspection: ~ Floor drain ~ Other
Prior to Inspection:
When w s system installed, or most recently modified? (Date) and why
Q~'Home came with system ~ Response to inspection program ~ Other
Q Water in basement ~ Previo system failed
B. ROOF LEADERS: d~No DISCHARGE: l~ Near ~y
~ ~
C. YARD DRAINS I~ Yes
WINDOW WELL
~ S O Yes L7
No
BEAVER SYSTEM ~ Yes ~/
o
D. PROPERTIES WITH SUMP PUMPS
When does pump run? ~ Fall ~ Summer I~ Spring ~ Winter
(check all that apply) How often does pump run?
V~here does pump discharge to outside? ~ Front Q Back ~ Side
NOTES:
SUMP PUMP SYSTEM: ~ASS ~ FAIL You have 30 days to bring your system info compliance with current
regu[ations. When you are ready for reinspection, caU 651 /644-1469 for an appointment.
Is there another place where clear water enters the sanitary sewer system? ~ Yes L~o
Where is this location?
This area will need xo e xed,,s~the clearyvatey~scharges to the storm sewer system.
Inspector: „-~'~'~ ---~(C-C/u_:~=`-;if'"t''``_~---~-~" Date: ~ -i--5 -
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 ~