HomeMy WebLinkAboutSump Pump Inspection
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City of Prior Lake
Sump Pump and III Reduction
Inspection Form
Name:-130 ~, Rc.> ~ n+ J- Go," I
Date: j-- 2/- I i Time: / F/S-a.m./p.m.
Address: Ii) COb S 4 y I ;V\~ A J(" IV vJ
Prior Lake, MN 55.37..J. Phone:~7, F.J];J.
First Inspection W' Second 0
Own: go- Rent: 0 Age of Home: I r
Residential: ~
Non-Residential: 0
A.
vV"" /4"...-r
BASEMENT Ij'yes 0 No
WATER IN BASKET 0 Yes I3'1fu
WATER IN BASEMENT (flow over floor)
SUMP BASKET 0 0 B"f 0 2 0 3 0
SUMP PUMP er-O 0 1 0 2 0 3 0
o Yes l31'Ito CISTERN 0 Yes 9-Nr>
(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 Outside
o Sanitary sewer
o Other
Prior to Inspection:
When was system installed, or most recently modified? (Date)
and why
B.
C.
o Home came with system 0 Response to inspection program 0 Other
o Water in basement 0 Previous system failed
f'41/VY _/
ROOF LEADERS: I3"Yes 0 No DISCHARGE: I3""Near 0 Away
o Yes 13"N"0
o Yes CJ.--No
WINDOW WELLS 0 Yes ~o
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 Side
o Spring
o Winter
o Back
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NOTES:
SUMP PUMP SYSTEM: e-1>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 l3"'No
Where is this location?
This area will need to be fixed so the clear water discharges to the storm sewer system.
Inspector: /) Y.d!" ?,:1~~ / Date: ;;:.2 1- '7 f
Resident:/ /~, ~ Date: 1 - J /~ 9<i
r ..::YI-?e.-
Disclaimel: "this visual inspection is done with due diligence to fmd obvious clear water cross-connections
and does ~t- imply the structure meets all City Codes.
White: Homeowner
Yellow: City
Pink: HRG