HomeMy WebLinkAboutSump Pump Inspection
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City of Prior Lake
Sump Pump and III Reduction
Inspection Form App+
Date: b-/:J.-79 Time:jOJO a.m./p.m.
First Inspection ~econd 0
Own: ~ Rent: 0 Age of Home: J 6
Residential: 13--
Non-Residential: 0
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Address: 3!:L/C;- ]~ /4VlcJ
Vit'1N elft AlvJ
Prior Lake, MN 55 J7~
Phone: L/4D- t7t 6
BASEMENT ~ No
WATER IN BASKET ~ ONo
WATER IN BASEMENT (flow over floor)
A.
SUMP BASKET 0 0 I3""l 0 2 0 3 0
SUMP PUMP ~ 0 1 0 2 0 3 0
o Yes Id-N-o CISTERN 0 Yes CJ.Ncr
(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 why
I
1.
"
~
,
o Home came with system
o Water in basement
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
D.
o Response to inspection program 0 Other
o Previous system failed
~ 0 No DISCHARGE: 0 Near ~ay
o Yes ~ WINDOW WELLS ~s 0 No
o Yes ~
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1
o Winter
o Side
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-.-------------------------------.---------------.--------------------------------------------------------------------------------- .
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SUMP PUMP SYSTEM: ~SS 0 FAIL You have 30 days to bring your system into compliance with current
regulations. When you are ready for reinspection. call 651/644-1469 for an appointment.
Is there another place where (flear water enters the sanitary sewer system? 0 Y es ~
Where is this location? I
This area will need to be fixed so the clear water discharges to the storm sewer system.
Inspector: ~ U~ /'4( af!~ _ Date: 6 -1--2 - 99
Resident: B~ --:l.~ Date: 6-1";< - 99
. ,
Disclaimer: This. ~isual inspection is done with due diligence to fmd obvious clear water cross-connections
and does not imply the structure meets all City Codes.
White: Homeowner
Yellow: City
Pink: HRG