HomeMy WebLinkAboutSump Pump Inspection
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City of Prior Lake
Sump Pump and III Reduction
Inspection Form
Name: ~ r Jo Vlj )
C\\M 1<".:
Date: '1--2.1- 99 Time: /2t/5 a.m./p.m.
First Inspection g" Second 0
Own: 0/ Rent: 0 Age of Home:2 (Ylovrl ~ :;
Residential: g---
Non-Residential: 0
Address: 'I;) J I UIA""- Kt" V Tr I. )J E
Phone: l.J lJ 7 - J7",,) I 'i
Prior Lake, MN 5537;(
A.
BASEMENT 0 Yes ~ /
WATER IN BASKET 0 Yes l3'No
WATER IN BASEMENT (flow over floor)
SUMP BASKET 0 0 ~ 0 2 0 3 0
SUMP PUMP Gr"o 0 1 0 2 0 3 0
DYes 0 No CISTERN 0 Yes ~o
(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 ofthis 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
C.
ROOF LEADERS:
YARD DRAINS
BEAVER SYSTEM
o Response to inspection program 0 Other
CJ Previous system failed
~es 0 No DISCHARGE: 0 Near e1...way
o Yes ~o WINDOW WELLS 0 Yes ~o
o Yes l3""No
o Home came with system
CJ Water in basement
B.
D.
PROPERuJ!.S 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: ~ASS 0 FAIL Youhave30daystobringyoursystemintocompliancewithcurrent
regulations. When you are ready for reinspection. caI/651/644-1469 for ~ointment.
Is there another place where clear water enters the sanitary sewer system? 0 Yes (3"'No
Where is this location?
This area will need to be fixed so the clear water discharges to the storm sewer system.
Inspector:
Resident:
LJ~ h--{ J~> u4-
('L~ f0f/.?AMi{~_
Date:
Date:
if- c;) ..J - '7 7
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. 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