HomeMy WebLinkAboutSump Pump Inspection
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City of Prior Lake
Sump Pump and III Reduction
Inspection Form
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Date:. ~-:.. / ;; . 7 7 Time: J / 10 a.m./p.m.
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Name:
,
Address: ? ? r 7 I Ie... d V',t'VLJ {)!l N v.J
Prior Lake, MN 55 J7 L Phone: 'It; 7 - Y.27 d...
First Inspection 13"""'" Second 0
Own: g.- Rent: 0 Age of Home: I C;
Residential: 9-
Non-Residential: 0
A.
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BASEMENT l?Y es a No
WATER IN BASKET aYes aNo
WAIE....~ IN BASEMENT (flow over floor)
SUMPBASKET a 0 cr1 a 2 a 3 a
SUMP PUMP 17'"0 a 1 a 2 a 3 a
aYes l?1ifo CISTERN aYes l3'1fo
(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:
a Laundry tub
a Floor drain
a Sanitary sewer
a Other
a Outside
Prior to Inspection:
When was system installed, or most recently modified? (Date)
and why
a Home came with system a Response to inspection program a Other
a Water in basement a Previous system failed
B. ROOF LEADERS: B'Yes a No DISCHARGE: ~ar a Away
C. YARD DRAINS a Yes ~o WINDOW WELLS a Yes~
BEAVER SYSTEM aYes l11ifo
D.
PROPERTIES WITH SUMP PUMPS
When does pump run? a Fall a Summer a Spring
(check all that apply) How often does pump run?
Where does pump discharge to outside? a Front a Back
a Side
a Winter
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NOTES:
SUMP PUMP SYSTEM:
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a 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 Yes ~o
Where is this location?
This area will need to be fixed so the clear water discharges to the storm sewer system.
Inspector:
Resident:
.
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Date: r: - 1)- 17
Date: J-=-- I) - 9?
Disclaimer: This visual inspection is done with due diligence to rmd obvious clear water cross-connections
and does not jrnply the structure meets all City Codes.
White: Homeowner
Yellow: City
Pink: HRG