HomeMy WebLinkAboutSump Pump Inspection
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City of Prior Lake
Sump Pump and III Reduction
Inspection Form
Name:_ ~ LA {' .
F lA,,,, 111 ~
Address:-! t::;) L/ --:1 f5 J,. od-ho{ 07 ["
Prior Lake, MN 55 J 7-:2 Phone: LJ<.j 7. 7 ft''f
Date: r-jL/- 7? 'Time: /)c,oa.m./p.m.
First Inspection g-"Second I::J
Own: o--Rent: 0 Age of Home:. ~ 71L!:.
Residential: 0-- I
Non-Residential: 0
A. BASEMENT ~ 0 No SUMP BASKET I3"1f 0 1 0 2 0 3 0
WATER IN BASKET OYes ~ SUMP PUMP ~ 0 1 0 2 q 3 0
WATER IN BASEMENT (flow over floor) 0 Yes ~ 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 wh y
o Home came with system
o Water in basement
o Response to inspection program
CJ Previous system failed
o Other
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
B.
C.
ROOF LEADERS:
YARD DRAINS
BEAVER SYSTEM
o Yes ~
o Yes e-1'fO
CJ Yes ~
D.
DISCHARGE: 0 Near 0 Away
WINDOW WELLS 0 Yes c:~
o Winter
NOTES:
--------------------------------------------------------------------------------------------------------------- -------------------
o Side
SUMP PUMP SYSTEM:
~S 0 FAIL You have 30 days to bring your system into complia ~ce with current
regulations. When you are ready for reinspection, call 651/644-1469 {or an appointment.
Is there another place where clear water enters the sanitary sewer system? 0 Yes i:J-No
Where is this location?
This area will need to be fixed so the clear water discharges to the storm sewer system.
Inspector: ' V~ ~~'7~ Date: O'-jl.;- 77
Resident: f:w;1";'-- R r#IIC~ Date: 1"-/9- '17
Disclaimer: This visual inspection is done with due diligence to rmd obvious clear water crJss-connections
and does not imply the structure meets all City Codes.
White: Homeowner
Yellow: City
Pink: HRG