HomeMy WebLinkAboutSump Pump Inspection
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City of Prior Lake
Sump Pump and III Reduction
Inspection Form
Name:
G'1 SfAoI; III Ie;,
Date: 2- 2'5-7'1
Time:/:'?O a.~
Address:
It 1:(5/:,
...... /11V
:;J P" rq ,.,
First Inspection 19"'"' Second 0
Own: 9'"' Rent: 0 Age of Home:
Residential: ~.
N on-Residential: 0
Prior Lake, MN 55572
Phone: '-1'17- 365 /
A.
BASEMENT ~es 0 No SUMP BASKET iB"ll".-O 1 0 2 0 3 0
WAlEK IN BASKET 0 Yes ~o SUMP Pl)MP iH'O 0 1 0 2 0 3 0
WAIER IN BASEMENT (flow over floor) 0 Yes I3"'No CISTERN 0 Yes 1WN0
(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
o Home came with system
o Water in basement
o Response to inspection program
o Previous system failed
o Other
C.
ROOF LEADERS:
YARD DRAINS
BEAVER SYSTEM
r9""fes 0 No
DYes e/'No
DYes IB"'1ir 0
DISCHARGE: 0 Near 0 Away
WINDOW WELLS 0 Yes 0 No
D.
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
o Side
o Winter
NOTES:
SUMP PUMP SYSTEM:
"~ASS
o 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.
&VN'o
o Yes
Is there another place where clear water enters the sanitary sewer system?
Where is this location?
This area will need t~.;97 fix;.:f so.... the clear water discharges to the storm sewer system.
Inspector: p.(j/h p.~jL Date: z.'Zs-. n
Resident: t' ~" ~. I ~ I' 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