HomeMy WebLinkAboutSump Pump Inspection
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Name: \/-t'::i,..r.
City of Prior Lake
Sump Pump and III Reduction
Inspection Form Aoo+.
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Date: .z;:~.)- 91 Time: /300 a.m.lp.m.
Phone: LIt; 7- t:;r.2 7
First Inspection ~ Second 0
Own: g" Rent: 0 Age of Home: 70 f-
Residential: 13"
Non-Residential: 0
Address: 9.1":0 fJVI a }(f>V TV I. /VF
Prior Lake, MN 55. T 7 -J
A. BASEMENT aYes l3'"No SUMP BASKET I3'l) a 1 a 2 a 3 a
WATER IN BASKET aYes aNo SUMP PUMP cr-o a 1 a 2 a 3 a
WATER IN BASEMENT (flow over floor) a Yes CJ..Wo CISTERN a Yes l3"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:
a Laundry tub
a Floor drain
a Sanitary sewer
a Other
a Outside
Prior to Inspection:
When was system installed, or most recently modified? (Date)
NOTES:
SUMP PUMP SYSTEM:
White: Homeowner
and why
a Home came with system
o Water in basement
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
B.
C.
ROOF LEADERS:
YARD DRAINS
BEAVER SYSTEM
D.
a Response to inspection program
o Previous system failed
a Other
aYes l3"'No
DISCHARGE: a Near a Away
WINDOW WELLS aYes I3"1if<)
a Yes /3-N'0
a YesCJ....NO
a Winter
-----.-.-.-.-----.-.-.---------.-.-----------------------.-------.-----------.-----------.---------.---------------.-.-------------
a Side
er-PASS
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 Et"No
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: ~ '~7
Resident: ( - IlL ' .o.~
-;1 :
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.
Date: .S: ".);J. 1'1
Date: _ r;- - ...l.,J - ., 7
Yellow: City
Pink: HRG