HomeMy WebLinkAboutSump Pump Inspection
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City of Prior Lake
Sump Pump and III Reduction
Inspection Form App+'
Name: kov; c. h \
Eob
Date: 1)...;)..)- '19 Time: tY/oO a.m.lp.m.
Address: 371/ I~ I~YI,.) V;~vJ elf? Nw
First Inspection ff
Own: er- Rent: 0
Residential: 13-
Non-Residential: 0
Second 0
/7
Age of Home: .,)
Prior Lake, MN 5537..:l.
Phone: Lf'l() - 959'1
A.
vV?' ( l. oJ '" t
BASEMENT ~es 0 No
WATER IN BASKET 0 Yes 0 No
WATER IN BASEMENT (flow over floor)
SUMP BASKET ~ 0 1 0 2 0 3 0
SUMP PUMP era 0 1 0 2 0 3 0
DYes l3'1iro CISTERN 0 Yes l3"'No
(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
o Home came with system
o Water in basement
o Response to inspection program 0 Other
o Previous system failed
~s 0 No DISCHARGE: ~ar 0 Away
DYes 9-NO 'fINDOW WELLS 0 Yes ri
DYes i3"'NO
B.
C.
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
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NOTES:
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, cau651/644-1469 for an appointment.
Is there another place where clear water enters th~ sanitary sewer system? 0 Y es ~
Where is this location?
This area will need to be fixed so the clear water discharges to the storm sewer system.
Inspector:
Resident:
Date: j- -2;)- "7?
Date: r- ~..2.- "17
- OJ N~~
rv } 1/ I .
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Disclaimer: This visual 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
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