HomeMy WebLinkAboutSump Pump Inspection
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City of Prior Lake
Sump Pump and III Reduction
Inspection Form
Name: K"f'S. R~Y\ J"" If
Date: L;. ] 0 - 99 Time: / j' )" a.m./p.m.
First Inspection ~ Second 0
Address: J 6 L/ f'f / N{:' l.1 If Do /VA f(~,-(J, (1Tl.f vJ Own: bJ-- Rent: 0 Age of Home: 9
Residential: g..-
Prior Lake, MN 55] 7.1 Phone: t.j If; . I '/.Jt Non-Residential: 0
A. BASEMENT eJ"fes 0 No SUMP BASKET 0 0 l?'l 0 2 0 3 0
WAJEK IN BASKET o Yes ~o SUMP PUMP ~O 0 1 0 2 0 3 0
WATER IN BASEMENT (flow over floor) 0 Yes Q-No 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
o Previous system failed
o Other
B.
C.
ROOF LEADERS:
YARD DRAINS
BEAVER SYSTEM
DYes I3""N 0
DYes e--No
o Yes I3"'N 0
DISCHARGE: 0 Near 0 Away
WINDOW WELLS 0 Yes B'No
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 Winter
o Side
NOTES:
SUMP PUMP SYSTEM:
6ASS
o 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 ~o
Where is this location?
This area will need to be fixed so the clear water discharges to the storm sewer system.
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Inspector: /\~I./-. e-L hJ1~. ~.v-
Resident: /.( . I c!. U/j..
. /
Date:
Date:
'(- JO - '19
'-1-)0-9'1
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