HomeMy WebLinkAboutSump Pump Inspection
Name: ~ CJ'" de. V
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City of Prior Lake
Sump Pump and III Reduction
Inspection Form
p" +-1,' Date: t- It?'f Time: /6' Lfr'-;.m.lp.m.
Phone:
First Inspection cr Second LJ
Own: er-- Rent: 0 Age of Home: ) j/
Residential: ~
Non-Residential: 0
Address: .:2 9 Ii ;:;; r I '.A ( t c. ~ f' If 1) .;..,../
, /'
Prior Lake, MN 55 ]7:2.
t-..v'N I. ~
BASEMENT ~es 0 No SUMP BASKET 0 0 ~ 1 0 2 0 3 0
WATER IN BASKET I3"'1es LJ No SUMP PUMP l?1) LJ 1 LJ 2 LJ 3 0
WATER IN BASEMENT (flow over floor) 0 Yes l31'To CISTERN 0 Yes e-rqo
A.
(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
PROPERl.mS W Iltt 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
o Previous system failed
o Other
o Yes ~
o Yes ~
LJ Yes ~
DISCHARGE: 0 Near 0 Away
WINDOW WELLS 0 Yes ~
o Winter
o Side
~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 for an appointment.
Is there another place where clear water enters the sanitary sewer system? 0 Yes ~o
Where is this location?
This area will need to be fixed so the clear water discharges to the storm sewer system.
Inspector: ./ ~-.AA4 ~ ~'Yl( ..--- Date: 6 - /i - f J
Resident: 74HL( ),1/11(7/"1 ....... Date: 6 -/6-??
.' -' A'
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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