HomeMy WebLinkAboutSump Pump Inspection
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City of Prior Lake
Sump Pump and III Reduction
Inspection FOI!!! /)p;/;
Name: C~soA( ~,vc Y <' Date:WS-99 TimeA::l3a.m.lp.m.
"wE
r, /l ~ ~ First Inspection ~ond 0
Address:o,,279 l.. 4NO Y COJe / K:.. Own: 12r- Rent: 0 Age of Home:2J
/)J7/} j I- /1 120 ';1,. Residential: g-
Prior Lake, MN 5~ /,</ Phone:"tt .../..::; '..../ Non-Residential: 0
A.
BASEMENT r:JY'es 0 No SUMP BASKET d'O 0 1 0 2 0 3 0
WATER IN BASKET 0 Yes Griio SUMP PUMP E1' 0 0 1 0 2 0 3 0
WATER IN BASEMENT (flow over floor) 0 Yes ~o CISTERN 0 Yes C}1qQ
(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 Outside
o Sanitary sewer
o Other
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 0 Other
o Previous system failed
DYes 0"'No DISCHARGE: 0 Near 0 Away
DYes erNo WINDOW WELLS l3"Yes 0 No
o Yes ~No
B.
C.
ROOF LEADERS:
YARD DRAINS
BEAVER SYSTEM
D.
I,>>ROPERTIES WITH SUMP PUMPS
When does pump run? 0 Fall 0 Summer 0 Spring
(checl\. all that apply) How often does pump run?
Where does pump discharge to outside? 0 Front 0 Back
o Side
o Winter
NOTES:
SUMP PUMP SYSTEM:
~ASS
o 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 appointment.
Is there another place where clear water enters the sanitary sewer system? 0 Yes ~o
Where is this location?
This area will need to be fixed so the clear water discharges to the storm sewer system.
"7-/5 -'7'7
"I'-/s- 77
Inspector: r J)~ A-vr"" ~~ _ _ . Date:
Resident: ---rl..;. (...,,!.l.'" (f ~)"'.J/ A.A<-ey C~\..-- Date:
Disclaimer: This visual inspection is done with due diligence to rmd obvious clear water cross-connections
and does not imply the structure meets all City Codes.
White: Homeowner
Yellow: City
Pink: HRG