HomeMy WebLinkAboutSump Pump Inspection
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City of Prior Lake
Sump Pump and III Reduction
Inspection Form
Name: C"",.J f)~tI, Fe, :,/h.- o~ J l Sc<y f"A; ~e
Date: t. J. 9, Time: J 2 5')$ a.m./p.m.
Address: L(J I ~ E ,<'".... (' 41,t Tr' I ME
Prior Lake, MN 55~ 72. Phone: '1t.;o -9'J() 9
BASEMENT vfftsll--~ No
WATER IN BASKET 0 Yes D-NtJ
WATER IN BASEMENT (flow over floor)
First Inspection r1'
Own: a--Rent: 0
Residential: l3"""
Non-Residential: 0
Second iO
Age of ijome: 9
A.
SUMP BASKET 0 0 134 0 2 01 3 0
SUMP PUMP 13'1) 0 1 0 2 01 3 0
o Yes Id-No CISTERN 0 Yes i3'NIo
(If no pump, place sticker across edge of sump cover and basement floor so any removal pf cover will
break seal. Skip to Part B of this form.) ,
Discharge Point
at fuspection:
o Laundry tub
o Floor drain
o Sanitary sewer
o Other
o Outsi~
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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
er-Yes 0 No
o Yes I3'""N 0
o Yes ~o
DISCHARGE: 0 Near ~ay
WINDOW WELLS 0 Yes erNo
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 Wintet
o Side i
i
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NOTES: '
SUMP PUMP SYSTEM: I3""PASS 0 FAIL You have 30 days to bring your system into complimce with current
regulations. When you are ready for reinspection. call 651/644-1469 j or an appointment.
Is there another place where clear water enters the sanitary sewer system? 0 Yes k
Where is this location?
This area will need to be fixed so the clear water discharges to the storm sewer system.
Inspector( r-;[jJ k-1JjJ~ /' Date: 6.]- '1'1
Resident: ~ 9.11 )Lf-iI),4. '{:P-1- ~ Date: /.. - ;J - 7'1
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Disclaimer: This visual inspection is done with due diligence to rmd obvious clear water cro$s-connections
and does not imply the structure meets all City Codes.
White: Homeowner
Yellow: City
Pink: HRG