HomeMy WebLinkAboutSump Pump Inspection
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City of Prior Lake
Sump Pump and III Reduction
Inspection Form /,(;);;,0/"-
Name: laND, z;Io~1NS Data3-/o-99 +irnt7~~/p.m.
Ir ,; r Nt! /l/E First Inspe~ o--I-sec;;nd IJ
Address:/....?37"3 "cDIA../13o.R0t.LY.L!.. Own: ~Rent:~~ge of Home:./Oc..rl 5
3,;' /) rJ/ 5t. Residential: ~ ' J
Prior Lake, MN 55 7~ P~n~ - WO Non-Residential: 0
/ -..:J; ,.... / /' /,""
A. ^"B~~~~T^- ~ a No . SUMP BASKET M~l! a 2 a 3 a
WATER IN BASKET aYes ~ SUMPp~r ~;:; i a 2 aytJ
WATER IN BASEMENT (flow over floor) aYes ~o CISTERN 9 Yes ~o
(If no pump, place sticker across edge of sump cover and basement floor so a1Y removal of cover will
break seal. Skip to Part B of this form.) i
Discharge Point
at Inspection:
a Laundry tub
a Floor drain
a Sanitary sewer . a Outsi*
a Other - I
Prior to Inspection:
When was system installed, or most recently modified? (Date)
----r
and whf
C.
a Home came with system a Response to inspection program
a Water in basement a P~us system failed
ROOF LEADE~I\~ ~t> ~rYY;Y'" No ~ISCHARGE: a
YARD DRAINS ::{ '-10 JJ ~es a ~ WINDOW WELLS
BEAVER SYSTEMop~l,.\~ a Yes !?'No
PROPERTIES WITH SUMP PUMPS
When does pump run? a Fall a Summer a Spring
-
(check all that apply) How often does pump run?
Where does pump discharge to outside? a Front
!
a OtI1er
! /"'"
N~ar ~ay
a Yes ~
B.
D.
a Winte:
a Back -""
CJ Side
-------.-.-------.-------.-----------------------------.---------------.---------.-----------------.-----------------.-.-----------
NOTES:
/'
SUMP PUMP SYSTEM: ~SS CJ FAIL You have 30 days to bring yoursysteJn into compli(JJ~ce with current
regulations. When you are ready for reinspection, call 651/644-1469 j or ~ointment.
Is there another place where clear water enters the sanitary sewer system? 0 Yt:s trNo
Where is this location? ~
This area will need to b~. ed ~ clear w~.ar r ~ d. arges to the storm sewer systelL I
Inspector: .--<-J_, (.c::/A~~ Date: 3-(0 - 9~
Resident: _\ /~ ./2 ~IJ Date: ...3 1'/0- 99'1
_I I 'f/\ \ i I
.
Disclaimer: This visual inspection is done with due diligence to fmd obvious clear! water cro ;s-connections
and does not imply the structure meets all City Codes.
White: Homeowner
Yellow: City
Pink: HRG