HomeMy WebLinkAboutSump Pump Inspection,:f~-
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City of Prior Lake
Sump Pump and I/I Reduction
Inspection Form ~ ;, ~,~-
Name: ,..;~~ ~ r rv~ ~ ,~ ~ ,~;; ca bc~ ~~
Date: y- ,2 `l -9 ~ Time: JD~; 0 a.m./p.m.
First Inspection L~ 5econd D
Address: .,..~ 9~,~4 ~P ~ r u c~ ~ 1~'. ; V`J Own: ~ Rent: ~ Age of Home: ~~
Residential: C-1-'
Prior Lake, MN 55 3 7~ Phone: ~/~/~' 1~~ ~ Non-Residential: ~
1/lla~ t n u u'~'
A. BASEMENT ~Yes ~ No 5IJMP BASKET Q 0 ~~ 2 O 3 O
WATER IN BASKET O Yes L1'No 5iJMP PiTMP L~` 0~ 1 ~ 2 ~ 3 ~
WATER IN BASEMENT (flow over floor) ~ Yes L~'1~1o CISTERN ~ Yes ~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 Q Laundry tub
at Inspection: ~ Floor drain
~ Sanitary sewer ~ Outside
~ Other '
Prior to Inspection: ~;
When was system instaY~ed, or most recently modified? (Date)
O Home came with system Q Response to inspection program ~ Other
O Water in basement ~ Previous system failed
and why
B. ROOF LEADERS: Q' Yes O No DISCHARGE: ~ Near [7 Away
C. YARD DRAIN5 ~ Yes l~" No WINDOW WELLS A'~Yes ~o
BEAVER SYSTEM ~ Yes [~''No ~ l ~ ~r ~ ~ -~
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 pump discharge to outside? ~ Front ~ Back ~ Side
NOTES:
SUMP PUMP SYSTEM: PASS O FAIL You have 30 days to bring your system into comp[iance with current
regulations. 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 Q''~To
Where is this location?
This area will need to be fixed so the clear water discharges to the storm sewer system.
Inspector: Date: ~/- ~ `/- 9 9
Resident: Date: ~/ - .2 `/ - 9 9
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
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