HomeMy WebLinkAboutSump Pump Inspection,~o
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~ Name:
City of Prior Lake
Sump Pump and I/I Reduction
ection Form
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~ ~ ~ r~ ~ '~-~ Date: ~~~ ~~Time:/ ~~~:1nJp.m.
~~ ~O ~ oD~ ~~~ ~~ First I~n~~~s ion a''" Second ~
Address. Own: `'~ R`ent: ~~ Age of Home: ~~ ~~
~ ~7~ ~ /~-7 Z y~~ Residential: f9~
Prior Lake, MN 55 ~ Phonery ~ Non-Residential: ~
A. BASEMENT ~''S~es ~ No ~/ SiJMP BASKET I~'0 1~ 2 ~ 3 ~
WATER IN BASKET Q Yes ~1Vo SUMP P~" 0~ 1 Cl 2~ 3 ~
WATER IN BASEMENT (flow over floor) ~ Yes L~~~Qo CISTERN O Yes I~.i~6'~
(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 Q Sanitary sev~ ~ Outside
at Inspection: ~ Floor drain ~ Other
Prior to Inspection:
When was system installed, or most recently modified? (Date) and why
~ Home came with system ~ Response to inspection program O Other
~ Water in basement ~ Prev' us system failed
B. ROOF LEADERS: L9'Yes Q No - DISCHARGE: l7 Near d3~'~way
C. YARD DRAINS ~ Yes I~, ~'~ WINDOW WELLS C~'Yes D^ No
BEAVER SYSTEM ~ Yes O"NO
D. PROPERTIES WITH SUMP PUMPS
When does pump run? Q Fall ~ Summer ~ Spri~ ~ Winter
(check all that apply) How often does pump run?
V~here does pump discharge to outside? ~ Front ~ Baclc.- O Side .
NOTES:
SUMP PUMP SYSTEM: ASS ^ FAIL You have 30 days to bring your system into compliance with current
regulations. When you are ready for reinspection, call 651/644-1469 for an otnrntent.
Is there another place where clear water enters the sanitary sewer system? ~ Yes ~ No
Where is this location?
This area will need to b e o e clear w r di arges to the storm sewer system.
Inspector. Date: ' ~
Resident: Date: - "
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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