HomeMy WebLinkAboutSump Pump Inspection~ ~a
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City of Prior Lake
Sump Pump and I/I Reduction
ection Form
Name: /~'~' ~-~~,,,~,~, ,. ,~a ~o f'.r_" Date: ~ - ~- -r'j ~ Time://: 3 p.m.
First Inspection ~Second ~
Address: J6~~ 7~ ~,li ~~~ r,,. ,G /" Own: ~' Rent: ~ Age of Home: ~~S
Residential: ~
Prior Lake, MN 5537 z--- Phone: Non-Residential: L~
A. BASEMENT 17~ Yes~ ~~,,~0 5UMP BASKET ~ 0 ~~ 2 ~ 3 ~
WATER IN BASKET ~'Yes ~ No SUMP PUMP ~~ 1 ~ 2 ~ 3 ~
WATER IN BASEMENT (flow over floor) ~ Yes f$'No CISTERN ~ Yes ~To
(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 sewer ~ Outside
at Inspection: O Floor drain ~ Other
Prior to Inspection: ' "- ~ ...- N
When was systern installed, or most recently modified? (Date) and why
~ Home came with system ~ Response to inspection program ~ Other
~ Water in basement ~ Previous system failed
B. ROOF LEADERS: es ~ No DISCHARGEc ~ Near 17.-~fway
C. YARD DRAINS ~ Yes ~ No WINDOW WELLS ~ Yes i~'~To
BEAVER SYSTEM ~ Yes ~ No
D. PROPERTIES WITH SUMP PUMPS
When does pump run? ~ Fall ~ Summer ~ Spring O Winter
(check all that apply) How often does pump run?
Where does pump discharge to outside? ~ Front ~ Back ~ Side
NOTES:
SUMP PUMP SYSTEM: ~RASS ^ FAIL You have 30 days to bring your system into compliance with current
regulations. When you are ready jor reinspection, ca[[ 651 /644-1469 for an appointment.
Is there another place where clear water enters the sanitary sewer system? ~ Yes It7....A~o
Where is this location?
This area will need to be ed so the clear water discharges to the storm sewer system.
Inspector: Date: ~ - ~ . 9`~
Resident: ~ Date: ~ ~ 3 _ rr ~
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