HomeMy WebLinkAboutSump Pump Inspection
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City of Prior Lake
Sump Pump and III Reduction
Inspection Form
Name:
LA~~1+
Address:
/6 5 <) k
5fr/~CJ
!Iv
Date,.2-Z"5-Qq T J 70 ~
ime: :.> a.m~
First Inspection ~ Second 0
Own: IB"" Ren}:' 0 Age of Home:
Residential: IiJ
Non-Residential: 0
Prior Lake, MN 55572--
Phone:
A.
BASEMENT lB'fes ~ No SUMP BASKET ~ .9-----IZYf- LJ 2 LJ 3 LJ
WATER IN BASKET ~Yes LJ No SUMP PUMP IJYO LJ 1 LJ 2 LJ 3 LJ
WATER IN BASEMENT (flow over floor) LJ Yes LJ No CISTERN LJ Yes 9-No
(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:
LJ Laundry tub
LJ Floor drain
LJ Sanitary sewer
LJ Other
LJ Outside
Prior to Inspection:
When was system installed, or most recently modified? (Date)
and why
LJ Home came with system
LJ Water in basement
LJ Response to inspection program
LJ Previous system failed
LJ Other
C.
ROOF LEADERS:
YARD DRAINS
BEAVER SYSTEM
j:}'Yes LJ No
LJ Yes 60
LJ Yes Lf No
DISCHARGE: LJ Near LJ Away
WINDOW WELLS LJ Yes LJ No
... B.
D.
PROPERTIES WITH SUMP PUMPS
When does pump run? LJ Fall LJ Summer LJ Spring
(check all that apply) How often does pump run?
Where does pump discharge to outside? LJ Front LJ Back
LJ Winter
LJ Side
NOTES:
SUMP PUMP SYSTEM: ~SS LJ FAIL You have 30 days to bring your system into compliance with current
regulations. When you are ready for reinspection. call 651/644-1469 fo'}" appointment.
Is there another place where clear water enters the sanitary sewer system? 0 Yes 13' No
Where is this location?
This area will need to ~ !Y'ed s01he c~ear water discharges to the storm sewer system.
Inspector: /t:c:> ~~ Date: Z -2? - 9 C)
Resident: \"- ~ OCR.. >{i.L-,'.JxuA 1- Date:-
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
,-._-~