HomeMy WebLinkAboutSump Pump Inspection~C9
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City of Prior Lake
Sump Pump and I/I Reduction
ction Form
Name: ~~e r ~ , ~; ~ ~ ~ ~ "TP ~~
Address: /',~9':~ ~ ~; /~~~1 1/r~ f('1~> /V~/
Prior Lake, MN 55 ~ 7.~. Phone: ~/~l~ - 3~~ ~
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Date: ~-1~~- 9 9 Time:~a.mJp.m.
First Inspection L~
Own: ~'' Rent: ~
Residential: L~'"
Non-Residential: ~
Second ~
Age of Home:~ ~
Gew*~~/ G,
A. BASEMENT C3''Yes ~ No~~ 5UMP BA5KET ~ 0 ~~ 2 ~ 3 ~
WATER IN BASKET I~ Yes C~'No SUMP PiJMP C~"6 ~ 1 O 2 d 3 O
WATER IN BASEMENT (flow over floor) ~ Yes ~T"S CISTERN ~ Yes 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.)
d' Discharge Point Q Laundry tub ~ Sanitary sewer ~ Outside
at Inspection: ~ Floor drain d Other
Prior to Inspection:
When was system installed, or most recently modified? (Date) and why
O Home came with system ~ Response to inspection program ~ Other
~ Water in basement a Previous system failed
B. ROOF LEADERS: [~'Yes ~ No DISCHARGE: ~ l~ear l7 Away
C. YARD DRAINS ~ Yes Ca''No WINDOW WELLS ~ Yes L'~No
BEAVER SYSTEM ~ Yes ~o
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 O Back ~ Side
NOTES:
SUMP PUMP SYSTEM: PASS ~ FAIL You have 30 days to bring your system into compliance with current
regulations. When you are ready for reinspection, caU 651 /644-1469 for an appointment.
Is there another place where clear water enters the sanitary sewer system? ~ Yes ~ Q'"No
Where is this location?
This area will need to be fixed so the clear water discharges to the storm sewer system.
I Inspector: C~~~~ ~~~-^~..~ Date: S- ZQ- ~'3' I
Resident: Z? Date: ~ - ~o - 99
Disclaimer: This visual inspection is done with due diligence to find obvious clear water cross-connections
and does not imnlv the structure meets all City Codes.
White: HomeaWii~r
Yellow: City
Pink: HRG