HomeMy WebLinkAboutSump Pump Inspection_~~ ~~~~~
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Name:
City of Prior Lake
Sump Pump and I/I Reduction
Insnection Form
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Address: /~/~,~ ~/ ~`£ ~
~ I Prior Lake, MN 5537,z Phone: ~6 -3`~yZ_
Date: ~- J~Time: ~.'.~v a.m.~
First Inspection C~ Second ~
Own: I~~'Rent: ~ Age of Home:
ResidentiaL• ~
Non-Residential: ~
A. BASEMENT Q Yes [~No - SUMP BASKET ~` t~~ 1 I~ 2~ 3 ~
WATER IN BASKET 17 Yes @'~1o SUMP PUM -'"A' 0 Q 1 ~ 2 a~.-~- O
WATER IN BASEMENT (flow over floor) ~ Yes ~°~ CISTERN ~ Yes A I~'NO
(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: ~ Floor drain ~ Other
Prior to Inspection:
~
When was system installed, or most recently modified? (Date) and why
O Home came with system ~ Response to inspection program ~1 Other
~ Water in basement ~ Previous system fail ed
B. ROOF LEADERS: Ci Yes ~ DI5CHARGE: O Near O Away
C. ~ YARD DRAINS ~ Yes ~
~' WINDOW WELLS ~ Yes ~~No
BEAVER SYSTEM O ~
Yes I~e No
D. PROPERTIES WITH SUMP PUMPS
When does pump run? d Fall ~ Summer ~ Spring ~ Winter
(check all that apply) How often does pump run?
V~here does pump discharge to outside? I~ Front O Back ~ Side
NOTES:
SUMP PUMP SYSTEM: ~F-~SS ~ FAIL You have 30 days to bring your system into compliance with current
~ regulations. When you are ready for reinspection, ca[l 651 /644-1469 for pointment.
Is there another place where clear water enters the sanitary sewer system? C~ Yes CT No
Where is this location?
This area will need to be fixed so the clear water discharges to the storm sewer system.
Inspector: Date: 2-%&'-J9g
,
Resident: -~-~r...~ Date:
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