HomeMy WebLinkAboutSump Pump Inspectionu aF PRIp~P
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City of Prior Lake
Sump Pump and I/I Reduction
ection Form
Name: ~~T_,~Pr ~ y~ M ~ ~~
Address: ~j ~~ 6 5~ ~~ o~~~ T~ ~~ ~~
Prior Lake, MN 55~ Phone: ~/'`/~ - 9SS~
Date: S'- ~- ~ y Time: / / -"a.m./p.m.
First Inspection ~ Second ~
Own: ~ Rent: ~ Age of Home: ZS~
Residential: C~'~
Non-Residential: ~
V./c~ l k v~ '+"'
A. BASEMENT ~''I'es ~ No SiJMP BASKET Cl 0~ 1 ~ 2 ~ 3 ~
WATER IN BA5KET Q Yes ~ No SUMP PUMP ~" 0 a 1 ~ 2 Q 3 ~
WATER IN BASEMENT (flow over floor) ~ Yes C~1Qo CI5TERN Q Yes ~10
(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
at Inspection:
Q Laundry tub ~ Sanitary sewer 17 Outside
O Floor drain ~ Other
Priar to Inspection:
When was system installed, or most recently modified? (Date)
~ Home came with system
~ Water in basement
B. ROOF LEADERS:
C. YARD DRAINS
BEAVER SYSTEM
~ Response to inspection program ~ Other
~ Previous system failed
and why
~''`Yes ~ No DI5CHARGE: ~ Near L'1' Away
~ Yes ~No WINDOW WELLS Q Yes C~''l~o
~ Yes 'l~'~No
D. PROPERTIES WITH SUMP PUMPS
When does pump run? ~ Fall ~ Summer ~ Spring ~ Winter
(check all that apply) How often does pump run?
Where does pump discharge to outside? ~ Front ~ Back Q Side
NOTES:
SUMP PUMP SYSTEM: ~ PASS Cl FAIL You have 30 days to bring your system into compliance with current
regulations. When you are ready for reinspection, cal! 651/644-1469 for an appointment.
Is there another place where clear water enters the sanitary sewer system? L7 Yes ~-'1~0
Where is this location?
This area will need to be fixed so the clear water discharges to the storm sewer system.
Inspector: G'~"la Date: s ' ~ ~
Resident: ~;A-t ,x.~, ,-i,,,n~~i Date: S ~ l -
Disclaimer: This visual inspection is done with due diligence to f'md obvious clear water cross-connections
and does not imply the structure meets all City Codes.
White: Homeowner Yellow: City Pink: HRG