HomeMy WebLinkAboutSump Pump Inspection
Name:
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City of Prior Lake
Sump Pump and III Reduction
Inspection Form
lQ IAho1
Date: 2.26 -79 Time::>" 3'0 a.m./6)
Prior Lake, MN 55 11 Z
Phone: Wo- L/7L/Z
First Inspection ~Second 0
Own: ~Rent: 0 Age of Home:
Residential: ~
Non-Residential: 0
Address: Z 9'-16 5j7~/~'1 Lk I<d
A.
BASEMENT a-f es 0 No
WATER IN BASKET OYes ~.
WATER IN BASEMENT (flow over floor)
SUMPBASKET 0 0 ~O 2 03 0
SUMP PUl\!P 0 0 13"'1 0 2 0 3 0
o Yes CJ..MO CISTERN 0 Y es ~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
B.
C.
ROOF LEADERS:
YARD DRAINS
BEAVER SYSTEM
o Response to inspection program 0 Other
o Previous system failed .
~ 0 No DISCHARGE: 0 Near ~y
o Home came with system
o Water in basement
o Y es ~....JY
o Yes ct'""No
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 Winter
o Side
-----.---------.-.-------.---------------------.-------------------.-----------.-.-.-------.-.---------------.-.-.-.-.-.-.---------
NOTES:
SUMP PUMP SYSTEM:
..
~SS
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 Y es ~o
Where is this location?
This area will need to be fixed so the clear water discharges to the storm sewer system.
~/ -i'
Inspector: ' . Date: -::2--26-<}1<7
Resident: '{/"'[A./\/1/L..J7 ,'fa ~ Date:'
Disclaimer: This visual inspection is done with due diligence to {"md obvious clear water cross-connections
and does not imply the structure meets all City Codes.
White: Homeowner
Yellow: City
Pink: HRG