Loading...
HomeMy WebLinkAboutSump Pump Inspection .(~....P!:::ti ~:~.> '~i\;;~' ~ ~ ~~'~j~~'/"~~ "';:~:~~'frr:)< A. City of Prior Lake Sump Pump and III Reduction Inspection FOllll Name: ;::;;..JCZ I J)PV /0 Date3-~-99 Timel!/Oa.m./p.m. ~ -' Jl HJ JJ0p. I~' / 0 J 73 J ) r; J J ;::; JJ lrst nspe n ttJ....-o"'Second Address:/, 7 ~ L .0 Own: Rent: D~ge ofHome20c...rf,~ 3/Y, 77/ /600. Residential: ~ - ~ Prior Lake, MN 55 / '- Phone~ -/ c:x:x:;; Non-Residential: 0 / __ J ./ rvVt.A./c/(/ ~ /' ~ ~ BASEMENT q;vres 0 No SUMP~ASKE \:i1lA 1 0 2~3 WATER IN BASKET 0 Yes 0 SUMP P 0 0 1 0 2 0 0 WATER IN BASEMENT (flow over floor) 0 Yes 0 CISTERN 0 Yes 0 (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 0 Outside o Other --- Prior to Inspection: When was system installed, or most recently modified? (Date) --- and why o Home came with system o Water in basement o Response to inspection program 0 Other o Previ system failed es 0 Ny DISCHARGE: 0 Near ~ / o Yes g/"~ WINDOW WELLS 0 Yes ~ o Yes CYNo B. C. ROOF LEADERS: YARD DRAINS BEAVER SYSTEM D. PROPERllliS WITH SUMP PUMPS When does pump run? 0 Fall 0 Summer 0 ~ing (check all that apply) How often does pump run? Where does pump discharge to outside? 0 Front 0 Back o Winter o Side NOTES: SUMP PUMP SYSTEM: /" / ~SS 0 FAIL You have 30 days to bring your system into compliance with curren regulations. When you are ready for reinspection. call 651/644-1469 for an ent. Is there another place where clear water enters the sanitary sewer system? 0 Yes No Where is this location? /l.-. ~ This area :.;iU...Jl... n ne eeedd t too b beeJp.e d ~.. e-e1e~:~ate is~rges to the storm sewer system. Inspect~.---c.J,1Qi;)' !~ilfi-. Date: "3 . Z - ?7 Resident: .'1 . . -t: - ~ Date: .:3 - z - 7Y . .. f f n - , I Disclaimer: This visual inspection is done Wl1h due diligence to rmd obvious clear water cross-connections and does not imply the structure meets all City Codes. White: Homeowner Yellow: City Pink: HRG