HomeMy WebLinkAboutSump Pump Inspection
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City of Prior Lake
Sump Pump and III Reduction
Inspection Form
Name: 10Jc;-l /I!;;;,e7J..IA D
/ StJ
Address:/6982 lJ.cM~~5 !Jv
Date~;,2599 Time~.m./p.m.
Prior Lake, MN 55j 7,u Phone:
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First Inspection ~d 0
Own: 0 Rent: 0 Age of Home:
Residential: 0 ______
Non-Residential: ~
A. BASEMENT a Yes ~ ./ SUMP BASKET ~ a 2 a 3 a
WATER IN BASKET aYes ~ SUMPP~ er"fj a 1 a 2 a ~
WATER IN BASEMENT (flow over floor) a Yes ~ CISTERN a 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:
a Laundry tub
a Floor drain
a Sanitary sewer a Outside
a Other --
Prior to Inspection:
When was system installed, or most recently modified? (Date)
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and why
B.
C.
ROOF LEADERS:
YARD DRAINS
BEAVER SYSTEM
a Response to inspection program a Other
a Previous sy~
a Yes ~ DISCHARGE: a Near a Away
a Yes~ WINDOW WELLS a Yes~
a Yes &1l0
CJ Home came with system
a Water in basement
D. PROPERuttS '" un SUMP PUMPS
When does pump run? a Fall a Summer a Spring a Winter
(check all that apply) How often does pump run?
Where does pump discharge to outside? CJ Front a ..Back a Side
-NOTES~'-'-'"Ei1prV----;Zo-::r'-'-'::-'C;ry;-'-J3);-el2---:;::--'Z';q':e'"€-----'-----'-'-
/}CCGSS Hec=,4~
SUMP PUMP SYSTEM: ~S CJ 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~,
Is there another place where clear water enters the sanitary sewer system? 0 Yes <er1ifu
Where is this location? //
This area will need. to b~.~e crear w er d' rges to ~ storm sewer system.
Inspector~ '0'~ ~ Date: ,;:/-,ZS-99
Resident: /~ Date:
Disclaimer: This visual inspection is done with due diligence to fmd obvious clear water cross-connections
and does not imply the structure meets all City Codes.
White: Homeowner
Yellow: City
Pink: HRG