HomeMy WebLinkAboutSump Pump Inspection
'-
Name:
City of Prior Lake
Sump Pump and III Reduction
Inspection FOil11
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Address:
'-1/:57 ~r!'vclAl~ fr.
Phone: 947- 3:55 7
Date:2- 2t/- Ify Time: 2: "SO a.m~~)
First Inspection ~ Second 0
Own: ~Rent:'p Age of Rome:
Residential: ~
Non-Residential: 0
Prior Lake, MN 5557Z-
A.
BASEMENT ~ 0 No SUMP BASKET ~O 1 0 2 0 3 0
WATER IN BASKET OYes ~ SUMPPUMP IB45 0 1 0 2 0 3 0
WATER IN BASEMENT (flow over floor) 0 Yes IQ-NO CISTERN 0 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:
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 0 Other
o Previous system failed
~ 0 No DISCHARGE: 0 Near ~ay
o Yes ~ WIND~W WELLS 0 Yes ~
o Yes I3"'No ..-...........
B.
C.
ROOF LEADERS:
YARD DRAINS
BEAVER SYSTEM
D.
PROPERTIES WITH SUMP PUMPS
When does pump run? 0 Fall 0 Summer 0 Spring
(check all that apply) How often does pump run?
\,Vhere does pump discharge to outside? 0 Front 0 Back
o Winter
o Side
NOTES:
SUMP PUMP SYSTEM: ')g(p ASS 0 FAIL You have 30 days to bring your system into compliance with current
regulations. When you are ready for reinspection, cal/651/644-1469 for ar;:!Ppointment.
Is there another place where clear water enters the sanitary sewer system? 0 Yes ltYNo
Where is this location?
This area will need to be fix~..9 the c~ar water discharges to the storm sewer system.
Inspector: ,/ftF:;/ ~- Date: Z-Z'-I-.qq
Resident: i I .. . /' I (- / 1,1./ 1..- ~/ ......... Date::! - 2. Y./ /J /j
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Disclaimer: This vi-J.~ inspection is done with due~dmgence' to rmd obvious clear water cross-connections
and does not impl:fthe structure meets all City Codes.
White: Homeowner
Yellow: City
Pink: HRG