HomeMy WebLinkAboutSump Pump Inspection~~
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City of Prior Lake
Sump Pump and IiI Reduction
Ins
1 Name:~~i~'~~t1S ~.J,~~i~
tion Form
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Datat~ ~ ' ~~ Time%o~~ a.m./p.m.
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'/ ../ ,~ '~ `~~ First Ins~p,,e~ ' ~"n t~7' Second ~
Address: ~~'Y3 `/s~/,~',G~9Gc/n.~ ~/D~CS Own: L~ Rent: Age of Home: ~~
~/.~y ~1 Residential: ~ ~
Prior Lake, MN 55 ~~~ Phone~"~ /~~"~'~~ Non-Residential: ~
~^(,: v c v ~C:~ ~C- '~
A. BASEMENT Yes~ ~~' SiJMP BASKET ~ 0 2~ 3 ~
WATER IN BASKET I~Jfes O No SiJMP ~P~ ~ 0 1 d 2 ~ 3, C]
WATER IN BASEMENT (flow over floor) ~ Yes C4~3Qo CISTERN ~ 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:
4
Prior to Inspe_ction:
When w systern installed, or most recently modified? (Date)
Home came with system ~ Response to inspection program
~ Water in basement a Pre ious system failed
~ Other
and why
A
RS ~J Y
~ N O N
DI5CHARGE ~A
B. ROOF LE
DE
: L
es :
ear way
C. YARD DRAINS ~ Yes Q
~ WINDOW WELi.5 ~ Yes ~'No
BEAVER SYSTEM ~
~ Yes Lti]' No
D. PROPERTIES WITH SUMP PUMPS
When does pump run? O Fall ~
s 5ummer Spring ~
~~ ~~=
~ / Winte
~
~
(check all that apply) How often doe
pump run?
+ i
Where does pump discharge to outside? ~ Front O Back i e
NOTES:
SUMP PUMP SYSTEM: L~Yf'AJS ~ FAIL You have 30 days to bring your system inlo compliance with current
regulations. When you are ready for reinspection, call 651 /644-1469 for an appoi .
Is there another place where clear water enters the sanitary sewer system? ~ Yes o
Where is this location?
This area will need to b ed s~re clear wat~'disc~rges to the storm sewer system.
Inspector: ~•:~" • (lj'-r'G~~~-, f„~`r `""' Date: ~ `.~ ~-
Resident: ~ ~ ,~.~ 7 ~....~.r-~' 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
O Laundry tub ~ Sanitary sewer tside
~ Floor drain 17 Other