HomeMy WebLinkAboutSump Pump Inspection
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City of Prior Lake
Sump Pump and III Reduction
Inspection Form NfJ~T
Name:0i/30MJ1;f ~/J Date:$.-h-99 Time:/300a.m.lp.m.
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'2 _ First InsPe9ion ~cond 0 3
Address: /-</~6.3 \D!..uEf3/,eO 7.e ,A/.J:: Own: ~Rent:.CJ..- Age ofHome:~<..f.
Residential: i1J-"" ---::J
Prior Lake, MN 5537,0 Phone:..ys>h-,Z9J6 Non-Residential: 0
A.
BASEMENT es Cl No ./ SUMPi?:ASKE Cl Cl 2 Cl 3 Cl
WATER IN BASKET ClYes ~ SUMPP 0 Cl 1 Cl 2 Cl Cl -
WATER IN BASEMENT (flow over floor) Cl Yes 0 CISTERN Cl Yes ~ -
(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:
Cl Laundry tub
Cl Floor drain
Cl Sanitary sewer Cl Outside
Cl Other ,--
Prior to Ins tion:
When w system installed, or most recently modified? (Date)
----
and why
B.
C.
ROOF LEADERS:
YARD DRAINS
BEAVER SYSTEM
Cl Response to inspection program Cl Other
Cl Pre~ystem failed
~ CI No/DISCHARGE: CI Near ~ ./
CI Yes rYN"o/ WINDOW WELLS CI Yes ~
Cl Yes ~
orne came with system
Cl Water in basement
D.
PROPERTIES WIm SUMP PUMPS
When does pump run? Cl Fall Cl Summer
(check all that apply) How often does pump run?
Where does pump discharge to outside? Cl Front
Cl Back
Cl Side
Cl Spring
Cl Winter
-
NOTES:
SUMP PUMP SYSTEM: ASS Cl FAIL You have 30 days to bring your system into compliance with current
regulations. When you are ready for reinspection, call 651/644-1469 for an ~ent.
Is there another place where clear water enters the sanitary sewer system? 0 Yes B"1ifo
Where is this location?
This area will need to be
Inspector:
Resident:
Date:
Date:
Disclaimer: This visual inspection is done with due diligence to fmd obvious clear water cross-connections
and does not im I the structure meets all Cit Codes.
White: Homeowner
Yellow: City
Pink: HRG