HomeMy WebLinkAboutSump Pump Inspection
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A.
City of Prior Lake
Sump Pump and III Reduction
Inspection Form ,,()jJ~/
Name: -;{6u. SH/JI3, 7:loM;:;S Date: .yC17-- 99 TimeJ~q.m./p.m.
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,.., - L"'1 -,-:: ,/ /J First Insp~n ~d 0
Address: \..?jo .9 ~3"-A'(/O Vie tJ elK; Own: g-' Rent:~ Age of Home:
"2 'Y "l . .I h /- Residential: iY"
Prior Lake, MN 55 Y /,v Phone:"Y, ~ 6:201 Non-Residential: 0
~~(j,1e;c!-, ./ /
BASEMENT ~ 0 No ./' SUMP~ASKE 0 o/"tYi 0 2 0 3 q
WAl~I( IN BASKET 0 Yes lD1fo SUMP P C(Q 0 1 0 2 0 ~
WATER IN BASEMENT (flow over floor) 0 Yes 0 CISTERN 0 Yes I!J.1<fu
(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 Respo e to inspection program 0 Other
o Pr 'ous system failed /
Yes 0 ~,. DISCHARGE: 0 Near 8"".fW"aY
o Yes Lf'Ny WINDOW WELLS ~s ~
o Yes i3""No
B.
C.
ROOF LEADERS:
YARD DRAINS
BEAVER SYSTEM
D.
PROPERu~S WITH SUMP PUMPS
When does pump run? 0 Fall 0 Summer
(check all that apply) How often does pump run?
Where does pump discharge to outside? 0 Front
o Spring
---
o Back
o Winter
o Side
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NOTES: ./
/'
~SS
SUMP PUMP SYSTEM:
o FAIL You have 30 days to bring your system into compliance with curr
regulations. When you are ready for reinspection, call 651/644-1469 for an ointment.
Is there another place where clear water enters the sanitary sewer system? 0 Yes
Where is this location?
This area will need to btJi'X~e clear ~er;;Charges to the storm sewer syste~.
Inspector:.....- ..-<;</. Y ~~ : ./ _ Date: A./ ':" / '7, 9;J
Resident: . j _\ _~,,~ "~I'.~ ~ . l: _,,_~ ~~Date: A,/-/ 7 - 9,9'
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Disclaimer: This visual inspection is done with 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