HomeMy WebLinkAboutSump Pump Inspection
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Name: J-/ a h f11
City of Prior Lake
Sump Pump and III Reduction
Inspection FOllli Arrf
D/:<vi J Date: 7~ )1.19 Time:fjOO a.m./p.m.
First Inspection ~ Second 0
Own: 0 Rent: e-- Age of Home: /L~r()'.
Residential: g.--
Non-Residential: 0
Address: /..j () r)' jJ) e c( 5,,;.1'1 f .s -(. 5 e
Prior Lake, MN 55J7~ Phone: 4L/7- ~J?'7
v/'" '4o",-t-
BASEMENT ~ 0 No
WATER IN BASKET ~ ONo
WATER IN BASEMENT (flow over floor)
A.
SUMPBASKET 0 0 ~O 2 0 3 0
SUMPPUMP 13'1) 0 1 0 2 0 3 0
o Yes g.-NQ CISTERN 0 Yes 8"N()
(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 Response to inspection program 0 Other
o Previous system failed
o Yes n DISCHARGE: 0 Near 0 Away
o Yes ~ WINDOW WELLS 0 Yes ~
o Yes ~
o Home came with system
o Water in basement
B.
C.
ROOF LEADERS:
YARD DRAINS
BEAVER SYSTEM
D. PROPERTIES WITH SUMP PUMPS
When does pump run? 0 Fall 0 Summer 0 Spring 0 Winter
(check all that apply) How often does pump run?
Where does pump discharge to outside? 0 Front 0 Back 0 Side
- NOTES~'-ij~~:'~'-'~'~'-'K;;J-I)~'~'+-;-;:~'~'-'-'-'-'-'-,-,-,-,-,-,-,-,-,-,-,-,-,-,---,-,-,-,-,-,-,_,_,_0_'_'-
~SS 0 FAIL You have 30 days to bring your system into compliance with current
regulations. When you are ready for reinspection. caI/651/644-1469 for an appointment.
Is there another place where clear water enters the sanitary sewer system? 0 Yes r:J-M()
Where is this location?
This area will need to be fixed so the clear water discharges to the storm sewer system.
-
Ins~ector: J.JMJ iw1~ ./ Date: 7-}). 79
ReSIdent: /;.,,::-...._-=.,.:? ~........:.-'!" Date: 7 oJ.J. . 91
SUMP PUMP SYSTEM:
Disclaimer: 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.
White: Homeowner
Yellow: City
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