HomeMy WebLinkAboutSump Pump Inspection~ 4F PRIO~P
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City of Prior Lake
Sump Pump and I/I Reduction
Insuection Form
Name: ~~~ko~ i~' , /~+ 1
Address: „~ ~~ ~'`~ ~/r~ l~v~,.~ ~f~~.( Tr l. ~; ~.J
Prior Lake, MN 55 ~~ 2 Phone: ~/ c/ 7. /~~.S~
Date: ~/ -.2 ?-~ y Time: J?i a a.m./p.m.
First Inspection L~ Second ~
Own: g' Rent: ~ Age of Home: Z 6
Residential: L~"
Non-Residential: Q
W`"/ l( AM I
A. BASEMENT dYes ~ No 5iJMP BASKET ~ I~ 1~ 2 ~ 3 ~
WATER IN BASKET I~ Yes ~ No SUMP PUMP I~'0 Q 1 ~ 2 ~ 3 ~
WATER IN BASEMENT (flow over floor) ~ Yes ~''No CI5TERN ~ Yes C~"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 sewer ~ Outside
~ Floor drain O Other
Prior to Inspection:
When was system installed, or most recently mpdified? (Date)
and why
17 Home came with system ~ Response to inspection program ~ Other
~ Water in basement D Previous system failed
B. ROOF LEADERS: ~ Yes L~''~1o DISCHARGE: ~ Near Q Away
C. YARD DRAINS ~ Yes a"'No WINDOW WELLS O Yes ~ No
BEAVER 5YSTEM O Yes I~.-No
D. PROPERTIE5 WITH SUMP PUMPS
When does pump run? ~ Fall ~ Summer ~ Spring O Winter
(check all that apply) How often does pump run?
V~here does pump discharge to outside? ~ Front I~ Back O Side
--•-•-•-•-•-•-•-•-•-•-•-•-•-•-•-•-•-----------•-•-•-•-----•-•-•-•-•-•-•-•-----•-•-•-•---•---•-•-•-•-•-•-------•-•-•-•-•---•---•-•-
NOTES: 17~'; ~, ~-( ~ ~ H 4l~-l l-~,, ~.,,..c° .~2 ~~ ~.-, fi~ c- ., .;~/ 9 ~
1-
SUMP PUMP SYSTEM: PAS5 ~ 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 appointment.
Is there another place where clear water enters the sanitary sewer system? O Yes t~~o
Where is this location?
This area will need to be fixed so the clear water discharges to the storm sewer sy5tem.
Inspector: ,~ Date: ~ 2 ; ' ~I ~
Resident: " ; ~ Date: `? - ~ y
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 Yeliow: City ~ Pink: HRG