HomeMy WebLinkAboutSump Pump InspectiondF PRtp
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City of Prior Lake
Sump Pump and I/I Reduction
ection Form
Name: w ~ ~ ,~ -F-~,- f ~ ~ o ( ( ~ Date: ~'= /~/- ~ ~ Time: ` /.~a.m./p.m.
First Inspection C~''~Second ~
Address: / Q r~^~ ~ n .~; v/ Own: ~"'Rent: ~ Age of Home:~~,,
Residential: L~'''~~
Prior Lake, MN 55 3 7,~1. Phone: ~~( ~-<< 70 ~' Non-Residential: ~
A. BAS~MENT ~ Yes D No SiJMP BASKET L~'d'^ ~ 1 ~ 2 ~ 3 ~
WATER IN BASKET ~ Yes Q~o SLTMP PUMP t~'Q" ~ 1 ~ 2 ~ 3 ~
WATER IN BASEMENT (flow over floor) ~ Yes ~ CISTERN ~ Yes L~-P~-
(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: G Floor drain ~ Other
Prior to Inspection:
When was system installed, or most recently modified? (Date) and why
17 Home came with system ~ Response to inspection program ~ Other
~ Water in basement ~ Previous system failed
B. ROOF LEADERS: ~ Yes L~"~o~ DISCHARGE: ~ Near ~ Away
C. YARD DRAINS ~ Yes l~'l~fo WINDOW WELLS Q Yes [~-~i'd'o
BEAVER SYSTEM D Yes ~o
D. PROPERTIES WITH SUMP PUMPS
When does pump run? ~ Fall L7 Summer ~ Spring I~ Winter
(check all that apply) How often does pump run?
V~here does pump discharge to outside? ~ Front ~ Back ~ Side
NOTES:
SUMP PUMP SYSTEM: C~ASS ~ FAIL You have 30 days to bring your system into compliance with current
regulaaons. When you are ready for reinspection, caU$51/644-1469 for an appointment.
Is there another place where clear water enters the sanitary sewer system? ~ Yes L~'~Qo
Where is this location?
This area will need to be fixed so the clear water discharges to the storm sewer system.
Inspector. Date: ~ / ~/ - 9 ~
Resident: ') Date: ,P'_ ~ `( - ~
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