HomeMy WebLinkAboutSump Pump Inspection
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City of Prior Lake
Sump Pump and III Reduction
Inspection FOI!!!
Name: ()) <;'OVl
Ale/\/: v\
Date: il_ ) ~- 99 Time: Itl!;- a.m./p.m.
Address: ) cy 77 5p/ I V1) L ~ wr T(1) S vJ
First Inspection g/
Own: 13'" Rent: 0
Residential: g-
Non-Residential: 0
) /
Second 0
Age of Home:
Prior Lake, MN 55 77.J.
Phone: L(L/7- rO!)~-
A.
vJe< i/< ~ r
BASEMENT l3-"Yes 0 No
WATER IN BASKET OYes ONo
WATER IN BASEMENT (flow over floor)
SUMP BASKET 0 0 r3"1 0 2 0 3 0
SUMP PUMP 13""0 0 1 0 2 0 3 0
o Yes l3"No CISTERN 0 Yes crNo
(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 Other
B.
C.
o Home came with system 0 Response to inspection program
o Water in basement 0 Previous system failed
ro~+ ~
r( r2rYes 0 No DISCHARGE: 0 Near ff Away
o Yes !?'No WINDOW WELLS 0 Yes CY'No
o Yes lY'No
ROOF LEADERS:
YARD DRAINS
BEAVER SYSTEM
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 0 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 Yes l3'1fo
Where is this location?
This area will need to be fixed so the clear water discharges to the storm sewer system.
Inspector: VuA 1~1u./~~- Date: '1-;) 1- ? 'I
Resident: l.~t^ H /i ,f!) A~- Date: t../.J 'I - "11
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