HomeMy WebLinkAboutSump Pump Inspection
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Name: l1onl1~/)5;
Address:
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Prior Lake, MN 55,72
City of Prior Lake
Sump Pump and III Reduction
Inspection Form
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Date: 2- 2</.99 Time:/z".Oo a.m~
First Insp~on ~. Second 0
Own: a::Y'" Rent: 0 Age of Home:
Residential: ~
Non-Residential: 0
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Phone: t/l./7. l41 Z
A. BASEMENT ~ 0 No SUMP BASKET e1) 0 1 0 2 0 3 0
WATER IN BASKET o Yes ~ SUMP PUMP ~O 1 0 2 0..) 0
WATER IN BASEMENT (flow over floor) 0 Yes ~ CISTERN 0 Yes ~o
(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 Sanitary sewer
o Other
o Outside
Prior to Inspection:
When was system installed, or most recently modified? (Date)
and why
o Home came with system
o Water in basement
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
B.
C.
ROOF LEADERS:
YARD DRAINS
BEAVER SYSTEM
D.
NOTES:
SUMP PUMP SYSTEM:
o Response to inspection program 0 Other
o Previous system failed
lB'Yes 0 No DISCHARGE: 0 Near ~ay
o Yes~' WINDOW WELLS I!J Yes ~
o Yes ~o
o Winter
o Side
')lPASS
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.
Is there another place where clear water enters the sanitary sewer system? 0 Y es ~o
Where is this location?
This area will need to be fixed so the clear water discharges to the storm sewer system.
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Inspector:~~ Date: 2.-~~-99
Resident: F~( /V/IJA;... On! ~vn..R.fi"I./L/ Date:
Disclaimer: This visual inspection is done with due diligence to fmd obvious clear water cross-connections
and does not imply the structure meets all City Codes.
White: Homeowner
"
Yellow: City
Pink: HRG