HomeMy WebLinkAboutSump Pump Inspectionur
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City of Prior Lake
Sump Pump and I/I Reduction
Ins~ection Form
Name: / 'r~~~~, ~N~L~~ Date
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~~ J~"
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"-~'~" ~~ Time/ ~a.m./p.m.
,(/ ,//` i First Inspe tion ~ond Q
Address:' Y~~ ~~v ~~~~ v~'v~{. ~~~ ~'~ Own: ~Rent: ~ Age of Home:
, /. r~_ ~/~~ Residential: L~°~
Prior Lake, MN 55 ~~~ Phone ~'f'`~ Non-Residential: ~
/2-~w ~ ~ '`
A. BASEMENT es ~ o
SUMP BA5KET
~ 1~
2 O 3 O
WATER IN BASKET es ~ No SiJMP P 0~ 1 ~
~~ 2_ ~~ ~3 ~
WATER IN BASEMENT (flow over floor) CI
~ Yes L STERN ~ Yes ~-IQo
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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.)
Discharge Point
at Inspection:
Prior to Inspection:
When w~ system installed, or most recently modified? (Date) and why
@' Home came with system ~ Response to inspection program ~ Other
O Water in basement Q Previo system failed
B. ROOF LEADER5: ~~No .. DISCHARGE: ~ Near ~3'Away
C. YARD DRAIN5 ~ Yes ~, ~ WINDOW WELLS ~ Yes ~'"No
BEAVER SYSTEM ~ Yes fD~'No
D. PROPERTIES WITH SUMP PUMPS
When does pump run? ~ Fall ~ Summer
(check all that apply) How often does pump run?
V~here does pump discharge to outside? ~ Front
NOTES:
~ Spring L~ Winter
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L7 Back ~_ O Side
SUMP PUMP SYSTEM: C~PASS ~ FAIL You have 30 days to bring your system into compliance with current
regulations. When you are ready for reinspection, ca!! 651 /644-1469 for an appo' ~eent.
Is there another place where clear water enters the sanitary sewer system? ~ Yes L9'"No
Where is this location? ~-
This area will need to fix s the cle~wa~ischarges to the storm sewer system.
Inspector:
~ Laundry tub ~ Sanitary sewer ~ Outside
~ Floor drain ~ Other
Date:
Date:
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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