HomeMy WebLinkAboutSump Pump Inspection
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City of Prior Lake
Sump Pump and III Reduction
Inspection Form
Name: (;') / /U1..f. Ti _ ~ L () lA. : ..I e
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Address: /6 6 J t.(
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Prior Lake, MN 55_ ~7)
Phone: If if 7..J 9 7 r-
Date: 7. Z 0/- r9 Time:}/2 r a.m./p.m.
First Inspection ~econd 0
Own: L'd-Rent: 0 Age of Home:!fC/,:
Residential: g.--
Non-Residential: 0
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A. BASEMENT ~ LJ No SUMP BASKET LJ 0 ~ LJ 2 LJ 3 LJ
WATER IN BASKET ~ LJNo SUMPPUMP ~ 0 1 0 2 0 3 0
WATER IN BASEMENT (flow over floor) 0 Yes CJ.No CISTERN 0 Yes ~
(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)
LJ Home came with system
o Water in basement
B.
C.
ROOF LEADERS:
YARD DRAINS
BEAVER SYSTEM
D.
NOTES:
and why
o Response to inspection program
o Previous system failed
LJ Other
LJ Yes ~
o Yes ~
LJ Yes~
DISCHARGE: 0 Near 0 Away
WINDOW WELLS 0 Yes I3-t'4't)
o Winter
LJ Side
I3'1>;\SS 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 l3-No
Where is this location?
This area will need to be fixed so the clear water discharges to the storm sewer system.
Inspector. : "I2A '/tf<'tt:1 '7""4~' ..-, Date: 7 - 2 'l- 'J'
Resident: ~. ~ Date: 7 - 2 '1- 9' "1
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Disclainier: 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.
PROPERTIES WITH SUMP PUMPS
When does pump run? LJ Fall 0 Summer 0 Spring
(check all that apply) How often does pump run?
Where does pump discharge to outside? LJ Front LJ Back
SUMP PUMP SYSTEM:
White: Homeowner
Yellow: City
Pink: HRG