HomeMy WebLinkAboutSump Pump Inspection
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City of Prior Lake
Sump Pump and III Reduction
Inspection Form .A?pf,
Name: DoV\~+, RlloV\ Jc...
Date: 7-.1J -1'1 Time:j]OO a.m./p.m.
Address: /56/6 5k v), VIe. A lie. NvtJ
I
First Insp~ ~ Second 0
Own: ~Rent: 0 Age of Home: J~Yf5.
Residential: g--
Non-Residential: 0
Prior Lake, MN 55 J7 ;.
Phone: '1Lfo~ 1:1j,-6
A.
1".::> .:;:/"/ L .
BASEMENT l3"'Yes 0 No
WAl~K IN BASKET g..yes 0 No
WATER IN BASEMENT (flow over floor)
SUMPBASKET 0 0 ~O 2 0 3 0
SUMP PUMP 0 0 CY'f 0 2 0 3 0
o Yes I3"NO CISTERN 0 Yes GJ..Ncr
(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
~de..
o Sanitary sewer
o Other
B.
C.
Prior to Inspection:
When was system installed, or most recently modified? (Date) J;: ~v; /11 'L- and why
o Home came with system ~nse to inspection program 0 Other
o Water in basement 0 Previous system failed
ROOF LEADERS: ~ 0 No DISCHARGE: 0 Near ~
YARD DRAINS 0 Yes~- WINDOW WELLS 0 Yes~
BEAVER SYSTEM 0 Yes~
PROPERu~S 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
D.
o Spring
A/~V'f
o Back
o Winter
~
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NOTES:
SUMP PUMP SYSTEM:
.-
~S
o FAIL You have 30 days to bring your system into compliance with current
regulations. When you are ready for reinspection, caU651/644-1469 for an appointment.
Is there another place where clear water enters the sanitary sewer system? 0 Yes
Where is this location?
This area will need to be fixed so the clear water discharges to the storm sewer system.
o No
Inspector:
Resident:
Date:
Date:
/-.2;).91
7- ;;2~ - 97
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.
White: Homeowner
Yellow: City
Pink: HRG