HomeMy WebLinkAboutSump Pump Inspection~,~+'~ ~F PRIp~P
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City of Prior Lake
Sump Pump and I/I Reduction
ection Form
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Name: ~1..~ /~~~ ~~ ~~~y/~ ~ Date:~~~ ~J Time:/~~~m./p.m.
/ /~ ~ _ //~~ _ f ~~ ~~ First Inspe~~ E~'"'3~econd Q
Address: /~~+~' ~~ ~'~'`~ Own: ~" ReLnt: f~ Age of Home:
~ ,/ Residential: L~~"
Prior Lake, MN 55.~/y.~ Phone'~`~~ ~~ Non-Residential: ~
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A. BASEMENT es~o SUMP BAS T d 1~ 2 ~ 3 ~
WATER IN BASKET es ~ No SiJMP P P 0~ 1 ~ 2 ~~-- ~
WATER IN BASEMENT (flow over floor) ~ Yes o CI5TERN ~ Yes L91~1o
(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 17 Sanitary sewer,_. ~ Outside
I~ Floor drain ~ Other
~....
Prior to Inspection:
When was system installed, or most recently modified? (Date)
~ Home came with system I~ Response to inspection program ~ Other
Q Water in basement 17 Previous sys failed
B. ROOF LEADERS:
C. YARD DRAIN5
BEAVER SYSTEM
and why
~ Yes No DISCHARGE: Q Near O Away
I~ Yes L~~~ Y WINDOW WELLS ~ Yes ~
L7 Yes ~ No
D. PROPERTIES WITH SUMP PUMPS
When does pump run? ~ Fall ~ Summer
(check all that apply) How often does pump run?
D Sprirrg~ ~ Winter
V~here does pump discharge to outside? ~ Front ~ Back ~ Side
NOTES:
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SUMP PUMP SYSTEM: ~'ASS ~ FAIL You have 30 days to bring your system into compliance with curre
regulations. When you are ready for reinspection, cal[ 651/644-4469 for an intment.
Is there another place where clear water enters the sanitary sewer system? ~ Yes No
Where is this location?
This area will need to fix~d~3 the cle~at~discharges to the storm sewer system.
I Inspector: - ~ ~'""~~ Date: 'lrl ~ 7' ~'j I
Resident: ~, x-- Date: -/ 7- ~_
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