HomeMy WebLinkAboutSump Pump Inspection
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City of Prior ~ke
Sump Pump and III ieduction
Inspection Form
MGc'//(, NAtiCY
Date:.? - 5-- 99
T. .5'00 ~
Ime.' a.m.~
Name:
Address: '-I2? I C)v~ k.~r f'r J
First Inspection ~
Own: ID-"Rent: 0
Residential: ~
N on-Residential: 0
Second 0
Age of Home: !
Prior Lake, MN 55 57 z.. Phone: l../L/7 - J..jq Z '-I
A. BASEMENT ~ 0 No...-/ SUMP BASKET Q""O j:J 1 0 2 0 3 0
WAl~I( IN BASKET 0 Yes iD"No SUMP PU)IP iP'1:J 0 1 0 2 0 3 0
WATER IN BASEMENT (flow over floor) 0 Yes p-tqo CISTERN 0 Yes ~
(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 Home came with system
o Water in basement
o Response to inspection program 0 Other
o Pr~s system failed
~ 0 No DISCHARGE: 0 Near ~ /'
o Yes ~ WINDOW WELLS 0 Yes ~o
o Yes fJ""N 0
B.
C.
ROOF LEADERS:
YARD DRAINS
BEAVER SYSTEM
D.
PROPERll~S "11 n 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 You have 30 days to bring your system into compliance with current
7./ regulations. When you are ready for reinspection. call 651/644-1469 for an 7ntment.
Is there another place where clearwater enters the sanitary sewer system? 0 Yes ~o
Where is this location?
This area will need to be fixed so the clear water discharges to the storm sewer system.
If" ~ .
Ins~ector: /\~ ?ar--./J2-
ReSIdent: '1l 111'.' ~ \ '.11, I c. L,,' u./
V \ I
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:
Date:
"?- 3-99
~- :.< - 7::;
White: Homeowner
Yellow: City
Pink: HRG