HomeMy WebLinkAboutSump Pump Inspection
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A.
City of Prior Lake
Sump Pump and III Reduction
Inspection Form 1I;;j?//,
Name:~);tJ;:;"-'{)J !JtU7flOA./Y Date08-99 Tima'a?a.m.lp.m.
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Addressl4S/ 6/a,Q/e;(3 71: #E
Prior Lake, MN 55..37;<:; Phon6l4~/6
1__ '--"'/"
I\.l./U/C-.c::...- "'- ' ~ ./
BASEMENT ~s 0 No /'
WATER IN BASKET 0 Yes ~o
WATER IN BASEMENT (flow over floor)
First Insp~n ~nd 0 /}/ I
Own: V Rent:):J Age ofHome:~YCl(5
Residential: ~ ..J
Non-Residential: 0
SUMP BASKET ~o 1 0 2 0 3 0
SUMP PU)IP 19"'0 0 1 0 2 03 0
o Y es ~o CISTERN 0 Yes Q1<fo
(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 ~ Outside
o Other
Prior to Inspection:
When was system installed, or most recently modified? (Date)
-----
and why
o Home came with system
o Water in basement
o Response to inspection program 0 Other
o Pr~s system failed
~s 0 ~ DISCHARGE: 0 Near ~y
o Yes~bf6 WINDOW WELLS 0 Yesri
o Yes c9""No
B.
C.
ROOF LEADERS~
YARD DRAINS ~
BEAVER SYSTEM
D.
PROPERTIES WITH SUMP PUMPS
When does pump run? 0 Fall 0 Summer
(check all that apply) How often does pump run?
Where does pump discharge to outside? 0 Front
o Spring
--
o Winter
o Back
o Side
NOTES:
./
/
~ ASS 0 FAIL You have 30 days to bring your system into compliance with c ent
regulations. When you are ready for reinspection. call 651/644-1469 for 'Pointment.
Is there another place where clear water enters the sanitary sewer system? 0 Yes
Where is thiS~ I cation?
This area will need to lxe~e clearyater hharges to the storm sewer syst?JTI.
Inspector:.-- _ (';&/'1{'tr~'" Date: "-/ -:~b - ~9
Resident:?? IP'y)\uO Date: ~,z8~9;J
~)/'-.r-., "-
,
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
Pink: HRG