HomeMy WebLinkAboutSump Pump Inspection~ ~~ 7 ~~ ~ aF PRtp ~
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Name: SQU ~
City of Prior Lake
Sump Pump and I/I Reduction
ction Form
5~-~ev'~~
Address: /557~7 /-~~7'~/Ah~ ~t1~_°
Prior Lake, MN 55 3 7 2 Phone: ~- y//
Date: ~ / S- `~ Time: 9.'O~~p.m.
First Inspection l~]~''Second ~
Own: ~''"Rent: ~ Age of Home:/9~5
Residential: ~~
Non-Residential: ~
A. BASEMENT ~1' Yes ~ No SUMP BASKET ~~ 1 ~ 2 ~ 3 ~
WATER IN BASKET O Yes Q No
W
TER IN BASEMENT
fl
fl SUMP~PUIV~P It~'6~ ~
~ Y
CISTERN
]'~ 1 ~
~ Y 2~ Q
A
(
ow over
oor) es
o es 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 Q 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: Q Yes [~' No DISCHARGE: I~ Near ~ Away
C. YARD DRAINS ~ Yes ~to WINDOW WELLS O Yes ~To
BEAVER SYSTEM D Yes ~10
D. PROPERTIES WITH SUMP PUMPS
When does pump run? ~ Fall ~ Summer ~ Spring ~ Winter
(check all that apply) How often does pump run?
V~Fhere does pump discharge to outside? ~ Front ~ Back ~ Side
NOTES:
SUMP PUMP SYSTEM: ~ASS O FAIL You have 30 days to bring your system into compliance with current
regulations. When you are ready for reinspection, cail 6511644-1489 for an pointment.
Is there another place where clear water enters the sanitary sewer system? O Yes ~ No
Where is this location?
This area will need to be fixed so the clear water discharges to the storm sewer system.
Inspector: Date: 3~ ,~g' ~'l' ~'
Resident: ~ Date:
Disclaimer: This visual inspection is done wi h due diligence to find obvious clear water cross-connections
and does not impl_y the structure meets all City Codes.
White: Homeowner Ye(low: City Pink: ~IRG