HomeMy WebLinkAboutSump Pump Inspection
Name:
fle4(11~
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Address:
It, 620
City of Prior Lake
Sump Pump and III Reduction
Inspection FOIII!
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Date:. ?'-/7-QQ Time:Z:JS a.m~'
First Inspection ~ Second 0 / {7 if
Own:. UJ.-"Rent: 0 Age of Home:',4, y S
Residential: ~ ~
Non-Residential: 0
Prior Lake, MN 55 '57 7 ~. Phone:
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BASEMENT / a:lPr'es lWNo
WATER IN BASKET aYes ~
WATER IN BASEMENT (flow over floor)
A.
SUMPBASKET ~ 1 a 2.a'3 a
SUMPP~ ri a 1 a 2 a 3 a
a Yes ~o CISTERN a Yes a 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
a Floor drain
o Sanitary sewer
a Other
o Outside
Prior to Inspection:
When was system installed, or most recently modified? (Date)
and why
a Response to inspection program a Other
o Previous system failed
~ a No DISCHARGE: a Near ~ay
a Yes ~ WINDOW WELLS a Yes ~
aYes iP-"No
a Home came with system
o Water in basement
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? a Front a Back
B.
C.
ROOF LEADERS:
YARD DRAINS
BEAVER SYSTEM
D.
NOTES:
SUMP PUMP SYSTEM:
o Winter
a Side
~SS
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 f~ed so the clear water discharges to the storm sewer system.
J t"77 A ~
Inspector: -14/ /~ ~ Date: '3-;/ 7, -1''7
Resident: .'1''''' J). \t ,\~1MA r;-) Date: ~!, 1 f 11 f '
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Disclaimer: nds visual insPictiOll is dOne" with due diligence to rmd obvious clear water cross-connections
and does not imply the st~ctur{ meets all City Codes.
White: Homeowner
Yellow: City
Pink: HRG