HomeMy WebLinkAboutSump Pump Inspection
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City of Prior Lake
Sump Pump and III Reduction
Inspection Form
Name: WArt.ol I i)Aviol
Date: '5-/704}Q Time: 5.'1$ a.m.~
First Inspection te"..... Second ~
Own: Er" Rent: 0 Age of Home: /qt;r;
Residential: Q"'"'
Non-Residential: 0
Address: 152 F; S Ed Of?- wA I eo r (j -,., .
Prior Lake, MN 5557Z- Phone: 4i7-342b
A.
BASEMENT ~es 0 No . SUMP BASKET ~. 0 1 0 2 0 3 0
WATER IN BASKET 0 Yes ~ SUMP P!JMP Q"'o 0 1 0 2 0 3 0
WATER IN BASEMENT (flow over floor) 0 Yes ~No CISTERN 0 Yes Q-NO'
(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
o Other
o Outsid e
Prior to Inspection:
When was system installed, or most recently modified? (Date)
and wh~,
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 ~o WINDOW WELLS 0 Yes C~
o Yes ~
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?
Where does pump discharge to outside? 0 Front 0 Back
o WinteI
o Side
NOTES:
SUMP PUMP SYSTEM: ~PASS 0 FAIL You have 30 days to bring your system intocomplian:e with current
regulations. When you are ready for reinspection. call 651/644-1469 fi Ir an appointment.
Is there another place where clear water enters the sanitary sewer system? 0 Yes !1;J~
Where is this location?
This area will need tOb~.)i lXed ~ the dear water discharges to the storm sewer system.
Inspector: ,tt;A /~ r Date: 5-17-9Cj
Resident: ~ \...: l fJ (.t...~,~ Date:
Disclaimer: This visual inspection is done with due diligence to rmd obvious clear water cros !l-connections
and does not imply the structure meets all City Codes.
White: Homeowner
Yellow: City
Pink: HRG