HomeMy WebLinkAboutSump Pump Inspection
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Name: II<-.! / j)I'V q
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City of Prior Lake
Sump Pump and III Reduction
Inspection FOiiiI A-v{)f.
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Address: !:") / t;" C <Pv-. j Y Co vt!- TV I S E
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Prior Lake, MN 55 ") 7 ~
Phone: Lj Lj 7- ] / C> /
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BASEMENT l3"'Yes 0 No
WATER IN BASKET 0 Yes 0 No
WATER IN BASEMENT (flow over floor)
A.
Date: r:- - I ~ 1 ? Time: DC] 30 a.m./p.m.
First Inspection ~ Second 0
Own: f3""" Rent: 0 Age of Home: :; 'f
Residential: e-
Non-Residential: 0
SUMP BASKET ~O 0 1 0 2 0 3 0
SUMP PUMP c:1"o 0 1 0 2 0 3 0
DYes g..-No CISTERN 0 Yes C nJ
(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)
o Home came with system
o Water in basement
B.
C.
ROOF LEADERS:
YARD DRAINS
BEAVER SYSTEM
D.
NOTES:
and why
o Response to inspection program
o Previous system failed
o Other
!?'Yes 0 No
DYes l3""No
o Yes ~o
~ASS
DISCHARGE: 0 Near CJ--1\way
WINDOW WELLS ~es 0 No
o Winter
o Side
o FAIL You have 30 days to bring your system into compliance with current
regulations. When you are ready for reinspection. cau651/644-1469 for an appointment.
Is there another place where clear water enters the sanitary sewer system? 0 Yes E:t""No
Where is this location?
This area will need to be fixed so the clear water discharges to the storm sewer system.
Inspector: //'/)-'1,:.1 h0c.!J"v_ Date: s= 1- Y 7
Resident: ;: LJ 4.....(~ II, . , A Date: /.. 1- i 'j
Disclaimer:/~his vi:Ual inspection J done with due diligence to rmd obvious clear water cross-connections
and does not imply the structure meets all City Codes.
PROPERTIES WITH SUMP PUMPS
When does pump run? 0 Fall 0 Summer 0 Spring
(check all that apply) How often does pump run?
Where does pump discharge to outside? 0 Front 0 Back
SUMP PUMP SYSTEM:
White: Homeowner
Yellow: City
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