HomeMy WebLinkAboutSump Pump Inspectionry `.~~
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City of Prior Lake
Sump Pump and I/I Reduction
Insnection Form
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r~ Name:~~~G~.C- ~.~ ~/~Gtfi~'G"`~./C..~ Date:~7~~~~ Time~~ODa.m./p.m.
j G,, f,~ ~ ! ~'~First In-sp~e '°n L~" Second ~
Address: /~~~~ ~~~ ~~~ ~~2 Own: L9' Rent: L7 Age of Home: ~ S
!~~y~j, `/~9 Residential: ~ ~
Prior Lake, MN 55 e~ /N Phone"Y~Q~/ ~ Non-Residential: ~
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A. ~BASEMENT ~sfes ~ No~_~~ / SUMP BASKET ~ 1 ~ 2 ~ 3 ~
WATER IN BASKET ~ Yes ~No ' SUMP ~P~ 0 O 1 ~ 2~ ~~ Q
WATER IN BASEMENT (flow over floor) ~ Yes L~'No CI5TERN ~ 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 17 Laundry tub ~ Sanitary sewer ~ Outside
at Inspection: I~ 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 ~ Other
~ Water in basement ~ Previ system failed
B. ROOF LEADERS: E~No DISCHARGE: ~ Near L~'~Away
C. YARD DRAINS ~ Yes ~~ WINDOW WELLS ~ Yes D"No
BEAVER SYSTEM L~ Yes C~'NO
D. PROPERTIES WITH SUMP PUMPS
When does pump run? ~ Fall a Summer O Spring,~„_ ~ Winter
(check all that apply) How often does pump run? ~-
V~here does pump discharge to outside? Q Front ~ Back ~ Side
NOTES:
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SUMP PUMP SYSTEM: ~S I~ 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 ap intment.
Is there another place where clear water enters the sanitary sewer system? O Yes ~ No
Where is this location?
This area will need to b ed~se-I~'e clear ~r ~harges to the storm sewer system.
Inspector:
Resident: ~
Date: "T'-~'
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