HomeMy WebLinkAboutSump Pump Inspection
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Name:Yt' /..J(j V1 ~
Address: /6'!f7 f
City of Prior Lake
Sump Pump and III Reduction
Inspection FOI!!l
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Date: 7- r.. 71 Time:}! Do a.m./p.m.
First InspeS}:ion cr Second 0
Own: ~Rent: 0 Age of Home: SO VI:.
Residential: g.-- ,
Non-Residential: 0
Avl'. SE
Prior Lake, MN 55 7.7:J
Phone: 4'10 - <f" .Jt;lLJ
BASEMENT ~ 0 No
W Al EK IN BASKET 0 Yes I31'iO
WATER IN BASEMENT (flow over floor)
A.
SUMP BASKET J3'1) 0 1 0 2 0 3 0
SUMP PUMP ~01 02030
o Yes ~ CISTERN 0 Yes 8lfv
(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)
White: Homeowner
and why
o Home came with system
o Water in basement
PROPERTIES WITH SUMP PUMPS
When does pump run? 0 Fall 0 Summer
(check all that apply) How often does pump run?
Where does pump discharge to outside? 0 Front
B.
C.
ROOF LEADERS:
YARD DRAINS
BEAVER SYSTEM
D.
NOTES:
SUMP PUMP SYSTEM:
o Response to inspection program 0 Other
o Previous system failed
~ 0 No DISCHARGE: ~ar 0 Away
o Yes~ WINDOWWELLS(/~esO No
o Yes ~
o Spring
o Winter
o Back
o Side
a-1'ASs 0 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.
tTl'i 0
Is there another place where clear water enters the sanitary sewer system? 0 Yes
Where is this location?
This area will need to be fixed so the clear water discharges to the storm sewer system.
Inspector: U~.I9A-vf. lvVI -
Resident: rf iv1 ~1 ~
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Date:
Date:
7- t - 99
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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.
Yellow: City
Pink: HRG