HomeMy WebLinkAboutSump Pump Inspection
City of Prior Lake
Sump Pump and III Reduction
Inspection FOI!!!
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Name:
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Address:
Prior Lake, MN 55
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Phone:
Date: f 2-21'-79 Time: J{}:Ll1a.m.Q
First Inspection ~ Second 0
Own: 0 Rent: 0 Age of Home:
Residential: 0
Non-Residential: 0
A. BASEMENT 0 Yes 0 No SUMP BASKET 0 0 0 1 0 2 0 3 0
WATER IN BASKET 0 Yes 0 No SUMP PUMP 0 0 0 1 0 2 0 3 0
WATER IN BASEMENT (flow over floor) 0 Yes 0 No CISTERN 0 Yes 0 No
(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
B.
C.
ROOF LEADERS:
YARD DRAINS
BEAVER SYSTEM
o Yes 0 No
o Yes 0 No
o Yes 0 No
DISCHARGE: 0 Near 0 Away
WINDOW WELLS 0 Yes 0 No
D. PROPERTIES WITH SUMP PUMPS
When does pump run? 0 Fall 0 Summer 0 Spring 0 Winter
(check all that apply) How often does pump run?
-NOTES;er~~~B;;;~.~~:;~-~~;~;~i-.jJ;~._B~~k_._._._._~._~~~~-.-.-.-.-.-.-.-.-.-.-
SUMP PUMP SYSTEM:
o PASS 0 FAIL You have 30 days to bring your system into compliance with current
regulations. When you are ready for reinspedion, call 651/644-1469 for an appointment.
Is there another place where clear water enters the sanitary sewer system? 0 Yes 0 No
Where is this location?
This area will need to-81f~~d ~o th~lear water discharges to the storm sewer syst:m. . _
Inspector: !d' If/. iu-JL, Date: I ~ -.? 1- ;'1
Resident: (rrr 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