HomeMy WebLinkAboutSump Pump Inspection/1
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Name: ~
City of Prior Lake
Sump Pump and I/I Reduction
Insnection Form
~ ~~~~ ~'`' `~ Date:-~"'"~-~~ TimeJ~3~a.m./p.m.
~ f~ Q /, //~O (~_ ~ /r~~ ~~- First Inspection Second ~
Address: ~ Ut,~ ~.X~ ~ C..~ Own: [9~'""Rent: ~ Age of Home:_
Residential: ~
Prior Lake, MN 5~~~ Phone: 'r Non-Residential: I~~~
A. BASEMENT Q Yes o_~.~''' SUMP BASKET I~~"_,0,,.~ 1~ 2 ~ 3 ~
WATER IN BASKET ~ Yes LF''1~To SUMP P el" 0~ 1 O 2~ ~_ ~3
WATER IN BASEMENT (flow over floor) L7 Yes L~1'~CISTERN ~ Yes L~o
(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: ~ Floor drain ~ Other
Prior to Inspection:
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: ~ Yes L~J''No DISCHARGE: ~ Near a Away
C. YARD DRAINS ~ Yes ~~~~N,o~ WINDOW WELLS ~ Yes C~-~No
BEAVER SY5TEM ~ Yes C#'No
D. PROPERTIES WITH SUMP PUMPS
When does pump run? ~ Fall ~ Summer ~ Spring ~ Winter
(check all that apply) How often does pump run? '"'
V~here does ump discharge to outside? ~ Front ~ Back Q Side
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NOTES: ~- -•-•- - /C"~//G y9~ ,E'E~4 ,~,4 7` .~OC ~ -•-•-•-•-•---•---•---._._._._._._._._
SUMP PUMP SYSTEM: ASS ~ FAIL You have 30 days to bring your system into comp[iance with current
regu[ations. When you are ready for reinspection, ca11651 /644-1469 for an appointment.
Is there another place where clear water enters the sanitary sewer system? ~ Yes C~-~o
Where is this location?
This area will need to fix the clear te ' charges to the storm sewer system.
Inspector: Date: '
Resident: 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