HomeMy WebLinkAboutSump Pump Inspection
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City of Prior Lake
Sump Pump and III Reduction
Inspection Form
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Name:
bo~
Date'. J / - ) z.....90 Tl'me'. \7./~V
If tJ"y_ .m p.m.
Address:
ljQ2' Equ ({ ()I!t 7:0/ I
First tnspection il
Own:...M ~ent: 0
Residential: )rf
N on-Residential: 0
Second 0 '7 \
Age of Home;> \
Prior Lake, MN 55 jll., Phone: q51~Z2</J
A.
BASEMENT 'rSrY es 0 No SUMP BASKET ~ 0 0 1 0 2 0 3 0
WATER IN BASid:T 0 Yes 0 No SUMP PUMP ':i('o 0 1 0 ~ p-3 0
WATER IN BASEMENT (flow over floor) 0 Yes ~o CIStERN 0 Yes ~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 Outside
o Sanitary sewer
o Other
Prior to Inspection:
When was system installed, or most recently modified? (Date)
and why
0 Home came with system o Response to inspection program 0 Other
o Water in basement o Previous system failed
B. ROOF LEADERS: ~Yes 0 No DISCHARGE: 0 Near'i Away
C. YARD DRAINS o Ye~o WINDOW WELLS o Yes ~o
BEAVER SYSTEM o Yes No
D.
PROPERTIES WITH SUMP PUMPS
When does pump run? 0 Fall 0 Summer 0 Spring
(check 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: X'PASS 0 FAIL You have 30 days to bring your system into compliance with current
regulations. When you are ready for reinspection, ca1l651/644-1~69 for appointment.
Is there another place where clear water enters the sanitary sewer system? 0 Yes No
Where is this location?
This area will need ~~~ S8> the'cf1.eeaarr water discharges to the storm sewer system. _ _
Inspector: ~ . ~ \,.- Date: \ \ - \7.... -1111
Resident: !J n _A Date:
, 'J,.J!/v....
Disclaimer: TInt visual in .f },,~.,on 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