HomeMy WebLinkAboutSump Pump Inspeciton
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City of Prior Lake
Sump Pump and III Reduction
Inspection Form
Name: /(f"" 5cLkp
I
DDv1
Date: (-/1, 11 Time: 17JO a.m./p.m.
First Inspection ~ Second 0
Own: ~Rent: 0 Age of Home:S5/1fJ
Residential: ~ /- '
Non-Residential: 0
Address: ;)15& ~c- ~ ~ h.,r Pr,
Prior Lake, MN 5537~ Phone: L/l(7_ f70 7
A.
t.,.../.. (~ d~ -r
BASEMENT ~s 0 No
WATER IN BASKET ~s ONo
WATER IN BASEMENT (flow over floor)
SUMPBASKET 0 0 ~O 2 0 3 0
SUMPPUMP 00 0""1 0 2 0 3 0
o Yes ~ 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 S~ary sewer
e-1Jther Yr-l,' ~
o Outside
f y...r-rP' ro-4
or
Prior to Inspection:
When was system installed, or most recently modified? (Date) and why
~e came with system 0 Response to inspection program 0 Other
o Water in basement 0 Previous system failed
B. ROOF LEADERS: ~ 0 No DISCHARGE: 0 Near ~ay
C. YARD DRAINS 0 Yes~ WINDOW WELLS 0 Yes~
BEAVER SYSTEM 0 Y es ~
D.
PROPER. u.S 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
o Winter
o Side
-NOTES~'#~;-'-'(~J'-~':"f-d~~~-:;'-+;7;l-'-?':':'-f'-'-~~)~-:--'-;~~:';;"j~~~'i'-/;'~!.-;;<-;:~: .
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SUMP PUMP SYSTEM: ~ PASS a FAIL You have 30 days to bring your system into compliance with current ~ f.
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:~A' / 1u-1.J,1f'1? _ Date: ,?- /1- 11
Resident: iZ;;__ ~ ~,.; d Date: ~- /1, f' 9
-~ . -
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