HomeMy WebLinkAboutSump Pump Inspection~,
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Name: L~ • Dat~:. Tim a.m./p.m.
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~,,1 First Inspe ' ~'" Second ~
Address:~~~~~v 1~` ~~~~~~ /~~ Own: L~~'~ Age of Home:~y
, ~y Residential: ~ -J
Prior L~lce, MN 5~ /~ Phon~~~~~ ~,*~/ Non-Residential: ~
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A. BASEMENT I~Pes ~ No__~ / SiJMP BASKET ~ ~0 1~ 2 ~ 3 ~
WATER IN BASKET Ca Yes 'L9'No SiJMP~ P,~ ~'"0 ~ 1 ~ 2 ~O~-'~
WATER IN BASEMENT (flow over floor} ~ Yes ~'No CISTERN ~ Yes 17~i~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.)
B.
C.
D.
NOTES:
SUMP PUMP SYSTEM: ASS ^ FAIL You have 30 days to bring your system into compliance wuh current
regulations. When you are ready for reinspection, call 6511644-1469 for an appointment.
Is there another place where clear water enters the sanitary sewer system? ~ Yes LT No
Where is this location?
This area will need to b ix~o the cle~v~discharges to the storm sewer system.
Inspector:
Resident: ~
Discharge Point 17 Laundry tub I~ Sanitary sewe~ Q Outside
at Inspection: ~ Floor drain d Other
,
Prior to Inspection:
When was system installed, or most recently modified? (Date) and why
D Home came with system ~ Response to inspection program 17 Other
Q Water in basement ~ Previous system failed
ROOF LEADERS: ~ Yes CI~No DISCHARGE: 17 Near ~ Away
YARD DRAINS ~ Yes Q_' ~N,9' WINDOW WELLS ~ Yes ~lNo
BEAVER SY5TEM ~ Yes [~"No
PROPERTIES WITH SUMP PUMPS
When does pump run? ~ Fall a 5ummer ~I S~ring ~ Winter
(check all that apply) How often does pump run?
Where does pump discharge to outside? ~ Front ~ Back ~ Side
City of Prior Lake
Sump Pump and I/I Reduction
Inspection Form ,~~,,,~ r
Date: ~•:.5~.~.~ -
Date: ~
Disclaimer: This visual inspection is c~~fe with due diligence to find obvious clear water cross-connections
and does not imnlv the structure meets all Citv Codes.
White: Homeowner Yellow: City Pink: HRG -