HomeMy WebLinkAboutSump Pump Inspection
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City of Prior Lake
Sump Pump and III Reduction
Inspection Form ~pp//
Name: rSCN~ JC~, ;;:foNJA S DatS/O- 99 Tim/0.<m./p.m.
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1/ C /i First Insp~n ~nd tJ 3 . /
Address:/o:t/3 ~Oy,~tJ/Q7Ze c-/e Own: ~Rent:g,..Ageoft.'ome: "Ir....,e.s
/J / / /. -7"87Residential: g...-- -1
Prior Lake, MN 55...? 7~ Phone'Y"'f~,..0CA Non-Residential: 0
/ I
;...,oW /::; 1<: '" '. /'
A. BASEMENT ~es 0 No /'
WATER IN BASKET 0 Yes CLMO
WATER IN BASEMENT (flow over floor)
SUMPBASKET ~O 1 0 2 0 3 0
SUMP PlJ1\1P ~O 0 1 0 2 0.1-0
o Yes r91\fo CISTERN 0 Yes &Iq 0
(If no pump, place sticker across edge of sump cover and basement floor so any removal )f cover will
break seal. Skip to Part B of this form.)
Discharge Point
at Inspection:
o Laundry tub
o Floor drain
o Sanitary sewer 0 Outsid e
o Other -
c..--
Prior to Inspection:
When was system installed, or most recently modified? (Date)
and wh:r
B.
C.
ROOF LEADERS:
YARD DRAINS
BEAVER SYSTEM
o Response to inspection program 0 Other
o Previous system failed ~
~ No DISCHARGE: 0 Near ~ay
o Yes ~/ WINDOW WELLS 0 Yes ~.
o Yes CJ"No
o Home came with system
o Water in basement
D.
PROPERTffiS 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
o Spring
/'"
o Bad{
o Wintei
o Side
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NOTES:
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SUMP PUMP SYSTEM: ~SS 0 FAIL You have 30 days to bring your system into compliwce with current
regulations. When you are ready for reinspection. call6511644-1469~or an a 'Ointment.
Is there another place where clear water enters the sanitary sewer system? 0 Yes 0
Where is this location?
This area will need to ~~the clea~te~harges to the storm sewer system. I
Inspector~ .0'~~ ~ Date: -:::-/0-99
Resident: ~ K'tiJ:::tfJj( .y~l.)l1j1_.-' Date: ~-/O- 9.9
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Disclaimer: This visual mspection is done with due diligence to fmd obvious clear water crOi IS-connections
and does not imply the structure meets all City Codes.
White: Homeowner
Yellow: City
Pink: HRG
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