HomeMy WebLinkAboutSump Pump Inspectionf~
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(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.)
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Name: ~ T~'~~~~, //~~~~~~ Date:~~~~` ~~ Tim~~`~ ~mJp.m.
~/ ~~, y~ First In~sp~e ° n ~ond ~
Address:~ /~9 %' .C~~~~~ ~~ Own: ~' Rent: A e of Home: ~~
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/~~/ ~ Residential: J
Prior L~lce, MN 55 ~~~ Phon .e~~' ~~~ Non-Residential: ~
, t f V V V ~^' ~V {..-
A. BASEMENT es ~ No~ 5LTMP BAS T~~ 1~ 2 Q 3 ~
WATER IN BASKET 17 Yes o SUMP P 0~ 1 ~ 2~ ~
WATER IN BASEMENT (flow over floor) ~ Yes o CI5TERN ~ Yes o
Discharge Point
at Inspection:
B.
C.
D.
City of Prior Lake
Sump Pump and I/I Reduction
Inspection Form ~Pp'T'
~ Laundry tub ~ Sanitary sewer ~ Outside
O Floor drain ~ Other ----
Prior to Inspection:
When was system installed, or most recently modi~ed? (Date)
and why
~ Home came with system ~ Respo e to inspection program ~ Other
~ Water in basement ~I~ Pr ious system failed
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ROOF LEADER : P~ ~ Yes ~ No DISCHARGE: ~ Near way
~ ,~ ~~
YARD DRAINS ~ Yes ~, ~N WINDOW WELLS ~ Yes L~-~o
BEAVER 5Y5TEM Q Yes l~No
PROPERTIES WITH SUMP PUMPS
When does pump run? ~ Fall ~ Summer ~ Spring
(check all that apply) How often does pump run? -~`'
V~here does pump discharge to outside? Q Front ~ Back
O Side
NOTES:
SUMP PUMP SYSTEM: ~'PASS ~ FAIL You have 30 days to bring your system into compliance with current
regu[ations. When you are ready for reinspection, ca11651 /644-1469 for an ap 'ntment.
Is there another place where clear water enters the sanitary sewer system? ~ Yes [~ No
Where is this location?
This area will need to be ed~se~he clear w~r~harges to the storm sewer system.
I Inspector: -'~'` ~-~"~ M Date: .~ -/Q- ~y I
Resident: { ~ _ Date: - ~ p-
Disclaimer: This visual inspection is done with due diligence to find obvious clear water cross-connections
and does not implv the structure meets all City Codes.
~ Winter
White: Homeowner Yellow: City Pink: HRG