HomeMy WebLinkAboutSump Pump Inspection
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Name: ~;-.J ~ I
City of Prior Lake
Sump Pump and 1/1 Reduction
Inspection Form
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Date: l./- 21- r 1 Time: J J () ~ a.m./p.m.
First Inspection 5V' Second 0
Own: B' Rent: 0 Age of Home:2r
Residential: g-
Non-Residential: 0
Address: '--j 2 7 () () ~. f ('or It" I. N E
Prior Lake, MN 55 J 7 ..1
Phone:
L. j vI-, L, ..,?'
BASEMENT 19"Yes 0 No SUMP BASKET ~ 0 0 1 0 2 0 3 0
WATER IN BASKET 0 Yes 0 No SUMP PUMP GYo 0 1 0 2 0 3 0
WATER IN BASEMENT (flow over floor) 0 Yes l31io CISTERN 0 Yes e-No
A.
(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)
NOTES:
SUMP PUMP SYSTEM:
White: Homeowner
and why
o Home came with system
o Water in basement
PROPERTIES 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
B.
C.
ROOF LEADERS:
YARD DRAINS
BEAVER SYSTEM
D.
o Response to inspection program
o Previous system failed
o Other
l3'Yes 0 No
DYes I3""No
o Yes ~o
DISCHARGE: 0 Near I3'J\way
WINDOW WELLS 0 Yes l3'No
o Winter
---------.-.-.-.---------.-----------------------.-------------------------------.---------.-----------------.-----.-.-.---.-.-----
o Side
l3"'P'~ss 0 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.
C3-NO
Is there another place where clear water enters the sanitary sewer system? 0 Yes
Where is this location?
This area will n~o ~e fixed s,o the clear ~scharges to the storm sewer system.
Inspector: ' I V~ IvY1h.Ct:..~ J Date: '-1- 21-
Resident: fl:rJ4.1IJ./ "^~ c..,\~ Date: f,./_1. / -
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Disclaimer:Vrhis visual inspection is done with due diligence to fmd obvious clear water cross-connections '
and does not imply the structure meets all City Codes.
Yellow: City
Pink: HRG