HomeMy WebLinkAboutSump Pump Inspection
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A.
City of Prior Lake
Sump Pump and III Reduction
Inspection Form
L ~e.e y DareJ,~-99TimeJ/..20a.m./p.m.
C/,e/VLJ ~
"'J ~ ~ / First Inspe90n ~econd 0
Address~ 79 .-t.SJ...f9J..1(J v/~tJ Own: ~Rent: 0 Age of Rome: )3 ~ u
~ '7 -J / I J: jJ' Residential: go--- ..j
Prior Lake, MN 55-J //V Phon€i'''t 7 -'z/~7 Non-Residential: 0
/(otX,C- 1-. ,
BASEMENT ~ONo /' SUMPBASKET 0 O~2 0 3 0
W A 1 ~A IN BASKET 0 Yes rlJ.iq'Q SUMP PUl\!r tyb c. i c. 2 0 3 0
WATER IN BASEMENT (flow over floor) 0 Yes ~ CISTERN 0 Yes ~
Name: ,z)uJ;Q LIv ,
. ./
(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
B.
C.
Prior to Inspection:
When was system installed, or most recently modified? (Date)
~e came with system 0 Response to inspection program
o Water in basement 0 Previous system failed
ROOF LEADERS: ~ No/, DISCHARGE: 0 Near ~
YARD DRAINS ~~~ WINDOW WELLS 0 Yes~
BEAVER SYSTEM 0 Y es ~o
.---.
and why
o Other
D.
PROPERl~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 0 Winter
:;::...--
o Back 0 Side
-.-.-.-.-.-----.-------------.---------------.-----.-----------------.-------------------.-------------.-----.-------------------.-
NOTES:
--
SUMP PUMP SYSTEM: ~ 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 clear water enters the sanitary sewer system? 0 Y es ~-
Where is this locationy: ./
This area will need t~~ {o the cle~apr discharges to the storm sewer system.
Inspecto~: ,f-,t~r '-- Date: .3-~.3'99
Residen : vJf-"F'fJ /,,"hwtJf Date: _3 -...<. ~ - ~ ~
, iI' \
Disclaimer: This ~ual 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