HomeMy WebLinkAboutSump Pump Inspection ProgramCity of Prior Lake
Insnection Form
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Name: ~~'`',~'tl/.C.~ ~i~ 7',~,t y'i
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Address: ~`> 8-~ ~~G~'~~~' ~
Prior Lake, MN 55 ~~~ P~one~~~7 ~ 7~
, ~.
Date: " 7'"'~'" ~./ Tima~`-7~~ a.m./p.m.
First Inspe_c,_t,i9~' econd O
Own: ~'"Re~lnt: ~~ ge of Home: ~~`
Residential: C~''" ~
Non-Residential: ~
A. BASEMENT CYYes ~ No~ SUMP BASKET ~Q 1~ 2 ~ 3 ~
WATER IN BASKET ~ Yes o SiJMP~PUN~Pr` 0~ 1 ~ 2 O~
WATER IN BASEMENT (flow over floor) ~ Yes ~ CISTERN ~ Yes [~Qo
(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 ~ Sanitary sew~ ~ Outside
at Inspection: ~ Floor drain Q Other
_
Prior to Inspection: /
When was system installed, or most recently modified? (Date) and why
~ Home came with system t7 Response to inspecti on program ~ Other
~ Water in basement ~ Pre ' us system failed
ROOF LEADERS ~ N Q N
DISCHARGE Q~iw
B.
: es
o ear
: ay
C. YARD DRAINS ~ Yes L
T~ WINDOW WELLS ~ Yes ~No
BEAVER 5YSTEM ~ ~
Yes [9' No
D. PROPERTIES WITH SUMP PUMPS
When does pump run? D Fall ~ Summer ~ Spring ~ Winter
(check all that apply) How often does pump run? '~
V~here does pump discharge to outside? ~ Front ~ Back O Side
NOTES:
SUMP PUMP SYSTEM: Q/f'ASS ~ FAIL You have 30 days to bring your system into comp[iance with current
regutations. When you are ready for reinspection, call 651 /644-1469 fot an tntment.
Is there another place where clear water enters the sanitary sewer system? ~ Yes No
Where is this location?
This area will need t b e so the ~ater discharges to the storm sewer system.
~
I Inspector: ~~" L--y-'" Date: 7" ~` // I
Resident: „~ /' Date: - f'
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.
Sump Pump and I/I Reduction
White: Homeowner Yellow: City Pink: HRG