HomeMy WebLinkAboutSump Pump Inspection
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City of Prior Lake
Sump Pump and III Reduction
Inspection FOIII!
Name: H,Pr-,dr /' , 'S OV1. DcJV1e-/ J
Aopt.
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Address: / f't 73 t <: Ie/> d V/t, vJ 1< {) IV vJ
Date: S~..2o r i Time: II/yo a.m./p.m.
First Inspection ~ Second 0
Own: ~ Rent: 0 Age of Home: I'
Residential: r:r
Non-Residential: 0
Prior Lake, MN 55 37,)"
Phone: 9"/0- 6 vtLj
A.
BASEMENT l3'fes 0 No SUMP BASKET 0 0 13"'1 0 2 0 3 0
WATER IN BASKET I3'1'es 0 No SUMP PUMP 0 0 rr1 0 2 0 3 0
WATER IN BASEMENT (flow over floor) 0 Yes l}-NO CISTERN 0 Yes b 1\(0
(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:
~tside
o Laundry tub
o Floor drain
o Sanitary sewer
o Other
B.
C.
Prior to Inspection:
When was system installed, or most recently modified? (Date) and why
~ome came with system 0 Response to inspection program 0 Other
o Water in basement 0 Previous system failed
ROOF LEADERS: 0 Yes l3"'No DISCHARGE: 0 Near 0 Away
YARD DRAINS 0 Yes e'No WINDOW WELLS 0 Yes erNo
BEAVER SYSTEM 0 Yes Id'No
D.
PROPERTIES W 11 n SUMP PUMPS
When does pump run? 0 Fall ~ummer ff'SPring 0 Winter
(check all that apply) How often does pump run? Or I,..... dt..l/ /,y 1lc.;.~ y Tr" ,__,./'
Where does pump discharge to outside? 0 Front 0 Back / a-sf<fe'
-----.-.---------------.-----------.-.---.-.---.-.-------.-.-.-.---.-----------.-.-------.-.---------.-----.---------.-.-.-.-------
NOTES:
....
SUMP PUMP SYSTEM: ~ l'ASS 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 Yes ~ ~
Where is this location?
This area will need to be fixed so the clear water discharges to the storm sewer system.
Inspector:
Resident:
~~ 1-0f~...r-
.~~/M.(/~"'-h.-
Date: .5- 2 0 . '1 (
Date: r;-.? d '1 '1
Disclaimer: This visual inspection is done with due diligence to find obvious clear water cross-connections
and does not imply the structure meets all City Codes.
White: Homeowner
Yellow: City
Pink: HRG