HomeMy WebLinkAboutSump Pump Inspection~~ 3
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City of Prior Lake
Sump Pump and I/I Reduction
Inspection Form ,~,o,~~~
~i,c/s ~~o.~ o,~f ~ ~ ;2- ~ C~'
Name: Date ~ Time;~ ~a.m./p.m.
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/ ~ f ~`~ ~~~~Q ~ ~ First Inspe ' LY Second ~
Address: ~~O'`~~ ~/"~' ~ Own: Rent: Age of Home:~
2~y~/ !/n Residential: ~ ~
Prior Lake, MN 55 ~.J !N Phon~~~~/ ~~~ Non-Residential: ~
~~„' v ~ - _
A. BASEMENT es O No~/ SUMP BASKET ~~~~~ 1~ 2 ~ 3 L?
WATER IN BASKET 17 Yes @'No SiJMP~P~~~ ~"'0 Q 1 ~ 2 O 3 ~
WATER IN BASEMENT (flow over floor) ~ Yes [~Qo CIS1'ERN 17 Yes ~
(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 sew,~ D Outside
at Inspection: ~ Floor drain ~ Other
Prior to Inspection:
When was system installed, or most recently modified? (Date) and why
~ Home came with system ~ Response to inspection program ~ Other
~ Water in basement ~ Prev' system failed
B. ROOF LEADERS: ~No DISCHARGE: Q Near ~ay
C. YARD DRAINS ~ Yes ~~ ~'` WINDOW WELLS ~ Yes D-'1Vo
BEAVER SYSTEM ~ Yes YNo
D. PROPERTIES WITH SUMP PUMPS
When does pump run? Q Fall ~ Summer O Spyug, ~ Winter
(check all that apply) How often does pump run?
VVhere does pump discharge to outside? ~ Front a Back,,...- O Side
NOTES:
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SUMP PUMP SYSTEM: L~'1sASS ~ FAIL You have 30 days to bring your system into compliance with current
regutations. When you are ready for reinspection, cal[ 651 /644-1469 for an appointment.
Is there another place where clear water enters the sanitary sewer system? ~ Yes l~'"!v o
Where is this location?
This area will ~ed to be ~ clear wa~ d~arges to the storm sewer system.
Inspector: -~'L~%%G`" Date: ,,,,,~ - G -
Resident: ,~ ~~ Date: ~~
Disclaimer: This visual inspection is done 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