HomeMy WebLinkAboutSump Pump Inspection Program~°
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City of Prior Lake
Sump Pump and I/I Reduction
ction Form
Name: n ~r/,-s'av~ , ~~c ~Ur ~ ~ J~GfGt~PPf')
Address: ~~~.,~ TP r' I"u c e t/,~ ,~ ~/
Prior Lake, MN 55 3 7~2 Phone: ~~/~3
Date: ~-~o? -9'~ Time:~a.m./p.m.
First Inspection ~Second Q
Own: ~Rent: Q Age of Home: ~~_v', ;
Residential: C~-"""'
Non-Residential: ~
/yu~./~ 5 G~~
A. BASEMENT `~'Yes ~No
SiJMP BASKET ~~
1 a
2 O 3 ~
WATER IN BASKET ~ Yes t~-~Fu- SUMP PUMP I~J"'b ~ 1 ~ 2 17 3 O
WATER IN BASEMENT (flow over floor) ~ Yes L~~Q"o CISTERN ~ Yes ~ 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 ~ Laundry tub ~ Sanitary sewer ~ Outside
at Inspection: ~' ~ Floor drai~r° ~ Other
~
Prior to Inspection:
When was system installed, or most recently modified? (Date) and why
~ Home came with system ~ Response to inspection program ~ Other
Q Water in basement
B. ROOF LEADERS:
~ Previous system failed
C3''Yes ~ No DISCHARGE: ~ Near C~''?~way
C. YARD DRAINS ~ Yes ~""~o WINDOW WELLS ~ Yes C-X"l~To
BEAVER 5YSTEM ~ Yes C.3-'iV'o .
D. PROPERTIES WITH SiJMP PUMP5
When does pump run? ~ Fall Q Summer ~ Spring C~ Winter
(check all that apply) How often does pump run?
V~here does pump discharge to outside? ~ Front ~ Back O Side
NOTES:
SUMP PUMP SYSTEM: ~S ~`FAIL You have 3Q days to bring your system into compliance with cur~enf
regulations. When you are read~'or reinspection, call 651 /644-1469 for an appoi~ument.
Is there another place where clear water enters the sanitary sewer system? Q Yes ~''No
Where is this location?
This area will need to be fixed so the clear water discharges to the'storm sewer system.
Inspector: L/~,~,•~ f~ Date: /-~„? ~' y
Resident: ~IP~iG1 a/i.r~L~ Date: ~~ 2- yg
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