HomeMy WebLinkAboutSump Pump Inspection
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City of Prior Lake
Sump Pump and III Reduction
Inspection Form
Name:
M cJ / I e V1 h () { -( . R j t: ~ c' , ~.
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Address: J)".::2 /1 E rl Y\ h 0 r tJ LA.?} "-
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Prior Lake, MN 55-.3 71.. Phone: 1-/L/O - /07;2.
A.
BASEMENT DYes ~
WATER IN BASKET DYes ~
WATER IN BASEMENT (flow over floor)
SUMP BASKET lY{)"D 1 D 2 D 3 D
SUMP PUMP CYtJCJ 1 0 2 0 3 0
o Yes CJ1qQ' CISTERN 0 Yes I3-H r
I
Date: t:- Jll- 99 Time: /r- Joa.m./p.m.
Firs~ ~ction B-'" ~cond I J
Own: Rent: iY"Age off!ome:
Residential: g.--
Non-Residential: 0
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(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 ofthis form.)
Discharge Point
at Inspection:
o Laundry tub
o Floor drain
o Sanitary sewer
o Other
o OutSidj
Prior to Inspection:
When was system installed, or most recently modified? (Date)
o Response to inspection program 0 Other
o Previous system failed
D Yes ~ DISCHARGE: D Near D Aw~:y
D Home came with system
o Water in basement
B.
C.
ROOF LEADERS:
YARD DRAINS
BEAVER SYSTEM
o Yes ~
D Yes~
and why
WINDOW WELLS 0 Yes C3"~
D. PROPERTIES WITH SUMP PUMPS
When does pump run? 0 Fall 0 Summer 0 Spring D Winter
(check all that apply) How often does pump run?
Where does pump discharge to outside? 0 Front 0 Back 0 Side
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E / Veil t'i k - Y ( 1/\ I--f' ,,--
SUMP PUMP SYSTEM: er1>ASs 0 FAIL You have 30 days to bring your system into complianc 1 with current
regulations. When you are ready for reinspection, call 651/644-1469 fOl' an appointment.
Is there another place where clear water enters the sanitary sewer system? 0 Yes g..":N{)
Where is this location?
This area will n~ b~ fix,ed so the ':.lear water discharges to the storm sewer system.
Inspector: AI) ~ /'~~cJ:'t'7 .- Date: J?'- /l/_ rr
Resident: i)i~,u.n~./ IA1:b'//___~ Date: t?'- / ({ - ?' ?
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Disclaimer: This visual inspection is done with due diligence to rmd obvious clear water cross'oConnections
and does not imply the structure meets all City Codes.
White: Homeowner
Yellow: City
Pink: HRG