HomeMy WebLinkAboutSump Pump Inspection
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City of Prior Lake
Sump Pump and III Reduction
Inspection Form
Name: lOwlf 1
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Date:j - 2l/. 9LTime: /73 () a.m./p.m.
First Inspection er' Second (J
Own: e- Rent: 0 Age of Fome: _1 / YY' (
Residential: g.-- / ..
Non-Residential: 0
Address: / S-.2 6 J F:.;, J",... I J rr I 11/;;
Prior Lake, MN 55 37,).. Phone: If'f7-j'';J())
A.
~_ll.u~-+
BASEMENT crTeS 0 No
WATER IN BASKET 0 Yes 0 No
WATER IN BASEMENT (flow over floor)
SUMP BASKET I3'1l 0 1 0 2 0 3 0
SUMPPUMP 13'1) 0 1 0 2 0 3 0
DYes Q..NO CISTERN 0 Yes 9-N 5
(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 Outsidl ~
Prior to Inspection:
When was system installed, or most recently modified? (Date)
and why
B.
C.
o Home came with system 0 Response to inspection program
o Water in basement 0 Pr~ious system failed
( +;... \
, p"'~es 0 No DISCHARGE: 0 Near ~way
o Yes ~o WINDOW WELLS 0 Yes D-1"(o
DYes Gt"No
o Other
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 Side
o Winter
NOTES:
SUMP PUMP SYSTEM: ~SS 0 FAIL You have 30 days to bring your system into complianc 'e with current
regulations. When you are ready for reinspection. call 651/644-1469 fc 7pointment.
Is there another place where clear water enters the sanitary sewer system? 0 Yes Q No
Where is this location?
This area will need to be fixed so the clear water discharges to the storm sewer system.
Inspect~: Vd 1-rt Jur--tj_ Date: /.,- 2 tl_ 7 i
Resident: ----.j~ 1'1/\ 1!6...o 'S Date: /, . 2 '1- 9 7
Disclaimer: This visual inspection is done with due diligence to f"md obvious clear water crOSl ;-connections
and does not imply the structure meets all City Codes.
White: Homeowner
Yellow: City
Pink: HRG