HomeMy WebLinkAboutSump Pump Inspection~~
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Name:
City of Prior Lake
Sump Pump and I/I Reduction
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tion Form ~ ,,~~~>~-
it/.S~"Jit/ k:/~=~/~/~ Dat ~~~ Time;/~Da.m./p.m.
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'~~ ~j First In~~sp~eS- ~n L~Y Second C]
Address:~'~~~Q j'` /~.L` ~~ /~-i'~ Own: L~' Re~nt:~` Age of Home:
7~ .,~ Residential: ~"
Prior Lake, MN 55 ~~i~ Phone~~~ ,~~.`J~~ Non-Residential: ~
A. BASEMENT ~1'es ~ No ~ SiJMP BASKET ~9/i~ 1~ 2 ~ 3 ~
WATER IN BASKET ~ Yes o SiJMP~~~~'1~0 ~ 1 ~ 2 Q~
WATER IN BASEMENT (flow over floor) ~ Yes o CISTERN ~ Yes 19-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.}
Discharge Point ~ Laundry tub ~ Sanitary sewer~„_,, ~ Outside
at Inspection: O Floor drain ~ Other
Priar to Inspection:
When was system installed, or most recently modified? (Date) and why
~1 Home came with system D Response to inspection program ~ Other
~ Water in basement ~ Prev' s system failed ~
B. ROOF LEADERS: Yes ~ No DI5CHARGE: ~ Near C~
C. YARD DRAINS C7 Yes N WINDOW WELLS ~ Yes ~~No
BEAVER SYSTEM ~ Yes o
D. PROPERTIES WITH 5UMP PUMPS
When does pump run? tJ Fall ~ Summer Q Sprin ~ Winter
(check all that apply) How often does pump run?
V~here does pump discharge to outside? ~ Front ~ Back-- O Side
NOTES:
SUMP PUMP SYSTEM: L'~PASS ~ FAIL You have 30 days to bring your system into compliance with current
regu[ations. When you are ready for reinspection, ca[l 651 /644-1469 for an pomtment.
Is there another place where clear water enters the sanitary sewer system? Q Yes No
Where is this location?
This area will need to fix~ the clea~a~ischarges to the storm sewer system.
Inspector: • %~~u'`~ ~""~~-''' Date: ~..3-iG %-
Resident: ,_ " Date: __ - 7-
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