HomeMy WebLinkAboutSump Pump Inspection~`~C'~~' ~F PR~p
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City of Prior Lake
Sump Pump and I/I Reduction
ion Form ~~,~-~
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Name: ~ c~~.~~ ~i~~'~ Date:.~'~~Time ~ .m./p.m.
`/,~/~ ~7 ~First In~sp~e ' n Va'' Second ~
Address: "y~~i~G~//~!/1>~S`p.C/ (./.e ~,~ Own: @'' Rent: - Age of Home:~
~ ~,~, q Residential: ~ y
Prior Lake, MN 55 ~~%~ Phone~j~~ ~~/ Non-Residential: ~
A. BASEMENT ~s ~ No~ SUMP BASKET l~ 0 1~ 2 ~ 3 ~
WATER IN BASKET ~ Yes o SUMP P~` 0~ 1 a 2~ ~~~ ~3s Q
WATER IN BASEMENT (flow over floor) b Yes t t L~ o CISTERN ~ Yes C D-~
(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 I] Outside
" at Inspection: Q Floor drain ~ Other ~"
Prior to Inspection:
When s systern installed,
or most recently modified? """"~
(Date)
and why
ome came with system ~ Response to inspection program Q Other
Q Water in basement
B. ROOF LEADERS: ~ Previ s system failed
es Q No DISCHARGE: O Near
~Rway
C. YARD DRAINS ~ Yes C~~ i o WINDOW WELLS ~ Yes [~...~5
[
BEAVER SYSTEM ~ Yes o
D. PROPERTIES WITH SUMP PUMPS
.~
When does pump run? ~ Fall 17 Summer ~ Sprin~ ~ Winter
(check all that apply) How often does pump run?
V~here does pump discharge to outside? ~ Front ~ Back ~ Side
NOTES:
SUMP PUMP SYSTEM: L~ASS ~ FAIL You have 30 days to bring your system into compliance with current
regu[ations. When you are ready for reinspection, ca[[ 651 /644-1469 for an ap intment.
Is there another place where clear water enters the sanitary sewer system? ~ Yes 1i7•~o
Where is this location?
This area will need to b e e clear w~€r ~ltarges to the storm sewer system. _
Inspector: -i" ~L`" f'` Date: -~ v '
Resident:. ~~,(~> n.,~-~i~.~ 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