HomeMy WebLinkAboutSump Pump Inspection
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City of Prior Lake
Sump Pump and III Reduction
Inspection Form )DP1.
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Name: Dunn. n~(~.:. "-
Date: ~- /-7? Time: ;OJtJ a.m./p.m.
First Inspection cg./ Second 0
Own: ~ Rent: 0 Age of Home: 7
Residential: g..-
Non-Residential: 0
Address: LjtJ67 PIr-c.JCfv"\-f i:f.5E
Prior Lake, MN 55 :, 7;;'" Phone: t/Lf7- /Ljl J
A.
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BASEMENT ~s a No
WATER IN BASKET a Yes a No
WATER IN BASEMENT (flow over floor)
SUMP BASKET a 0 ~ a 2 a 3 a
SUMPPUMP CJ'O a 1 a 2 a 3 a
aYes ~o CISTERN aYes 9-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
~t Inspection:
\.
Prior to Inspection:
When was''System installed, or most recently modified? (Date)
a Laundry tub
a Floor drain
a Sanitary sewer
a Other
a Outside
and why
a Home came with system a Response to inspection program a Other
a Water in basement a Previous system failed
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ROOF LEADERS: I3'Yes 0 No DISCHARGE: g'Near a Away
B.
C.
YARD DRAINS
BEAVER SYSTEM
a Yes ~o
a Yes ~o
WINDOW WELLS a Yes a No
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 Winter
a Side
NOTES:
SUMP PUMP SYSTEM:
~SS a FAIL You have 30 days to bring your system into compliance with current
regulations. When you are ready for reinspection, ca[[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.
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Inspector: -U.--'ff<:./. /~ ~ ..-
Resident: C (U... -(fhd.J.);) - ~
Date: 0/- 71
Date: .;-- / - 'J 7
Disclaimer: This visual inspection is done with due diligence to C"md obvious clear water cross-connections
and does not imply the structure meets all City Codes.
White: Homeowner
Yellow: City
Pink: HRG