HomeMy WebLinkAboutSump Pump Inspection
City of Prior Lake
Sump Pump and III Reduction
Inspection Form A ~wt.
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Name: J-Ytl '_I \ jf'f i a rtl .l- /\/"":1 (.II I '\
Address: 3 Ii? D r'c/t-!- -f p r ,/i t^+ C i T--7 ('\J v,j
Phone: L /L/7- ]'D()b
Prior Lake, MN 5537).
A.
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BASEMENT ~s 0 No
WATER IN BASKET 0 Yes Q1<SO
WATER IN BASEMENT (flow over floor)
SUMP BASKET 0 0 iT1 0 2 0 3 0
SUMP PUMP ~O 0 1 0 2 0 3 0
o Yes G3-'No CISTERN 0 Yes g.No
Date: 6,- /..~, '17 Time:) j LJ 0 a.m./p.m.
First Inspection ~Second 0
Own: a-"Rent: 0 Age of Home:,_ ' i
Residential: ~
Non-Residential: 0
(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:
o Laundry tub
o Floor drain
o Sanitary sewer
o Other
o Outside
Prior to Inspection:
When was system installed, or most recently modified? (Date)
and why
o Home came with system
o Water in basement
o Response to inspection program
o Previous system failed
o Other
PROPERTIES WITH SUMP PUMPS
When does pump run? 0 Fall 0 Summer
(check all that apply) How often does pump run?
Where does pump discharge to o~~ide? 0 Front
"-
B.
ROOF LEADERS:
YARD DRAINS
BEAVER SYSTEM
o Yes l3"No
o Yes i3'No
o Yes~
C.
D.
NOTES:
DISCHARGE: 0 Near 0 Away
WINDOW WELLS 0 Yes 13"-No
o Spring
o Winter
o Back
o Side
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SUMP PUMP SYSTEM: ~SS 0 FAIL You have 30 days to bring your system into compliance with current
regulations. When you are ready for reinspection, caI/651/644-1469 for an.:;flPointment.
Is there another place where clear water enters the sanitary sewer system? 0 Y es ~o
Where is this location?
This area will need to be fixed so the clear water discharges to the storm sewer system.
Ins~ector: -1. (~A'(l-,~IL~::~..,~,
ReSIdent::?' !/J I '/ /-.' /~) /j ,'~l /) 7
Date:
Date:
b- (...J- '/'/
/- I,... '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