HomeMy WebLinkAboutSump Pump Inspection
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City of Prior Lake
Sump Pump and III Reduction
Inspection Form
Name: Oi' ft'u ~I'\ .
Ut1(,/I;~"J.. /Vl........lt',.'"
Date: '1- 2 / - 7' f Time: J.~/.5 a.m./p.m.
First Inspection 19'"
Own: B" Rent: 0
Residential: g.--
Non-Residential: 0
Second 0
Age ofHome:-2~
Address: Lj:)" 0 Q",~ Jr~v Tf I. N E
Prior Lake, MN 55,'7J
Phone: 'JLI7- ";;'1'/0
'-(7 (../4.1 L. --r
BASEMENT ErYes 0 No SUMP BASKET ~ 0 1 0 2 0 3 0
WATER IN BASKET 0 Yes 0 No SUMP PUMP 13""0 0 1 0 2 0 3 0
WATER IN BASEMENT (flow over floor) 0 Yes B'No CISTERN 0 Yes l3'1ilo
NOTES:
White: Homeowner
Yellow: City
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)
and why
o Home came with system
o Water in basement
o Response to inspection program
o Previous system failed
o Other
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.
ROOF LEADERS:
YARD DRAINS
BEAVER SYSTEM
l3"Yes 0 No
DYes I3"'N 0
o Yes ~o
DISCHARGE: 0 Near ~way
WINDOW WELLS 0 Yes e---No
o Winter
-----.-----------.-----------.-------------.-------------.-.-----.---------.-.-.-.-------------.---.-------------------------------
o Side
C.
D.
SUMP PUMP SYSTEM: I3"'P ASS 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.
Is there another place where clear water 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.
Inspector: '---U;..J, ~"}~ _____ Date: '1- t 1- '11
Resident: ~~ p,,/I.:.. _ Date: tj- 2/ - '1f
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.
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