HomeMy WebLinkAboutSump Pump Inspection
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City of Prior Lake
Sump Pump and III Reduction
Inspection Form
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Name: )-J "u JJ.l.:
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Date~-6 -~9 Time)O,OOa.m.lp.m.
First Insp~ ~d 0 6
Own: ~ Rent: 0 . Age of Home:4 "ff. r
Residential: ~ -J
N on-Residential: 0
Address:~9B7 JPe/JJt;"iJe Ro S. k!
Prior Lake, MN 55 j 7P() Phone0l.y'1-~/O
A. BASEMENT ~.NO. ~.. SUMPBASKET [j 0 ~2 [j 3 [j
WATER IN BASKET 0 Yes ~o SUMP P~ e--6O i ;; 2 0 3----D
WATER IN BASEMENT (flow over floor) 0 Yes ~ CISTERN [j Yes ~
(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 0 Outside
",--.
o Other
B.
Prior to Inspection:
When w~s system installed, or most recently modified? (Date).
~e came with system 0 Response to inspection program
o Water in basement 0 Previous system failed
ROOF LEADERS: 0 Yes ~ DISCHARGE: 0 Near 0 Away
YARD DRAINS 0 Yes ~ WINDOW WELLS ~ No
BEAVER SYSTEM 0 Yes c:J-'1qo
---
and why
o Other
C.
D. PROPERTIES WITH SUMP PUMPS
When does pump run? 0 Fall 0 Summer 0 Spring 0 Winter
(check all that apply) How often does pump run?
Where does pump discharge to outside? 0 Front 0 Back 0 Side
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SUMP PUMP SYSTEM: ct'PAss 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 a~ent.
Is there another place where clear water enters the sanitary sewer system? 0 Yes ~
Where is this location?
This area will need. to ~~. the?E3lear ate~charges to the storm sewer sys. tern.
Inspector: ~. f.c:::?~ '-'" Date: .z.-0-;7'~
Resident: ...:. ~"b '" el; t /) :...--....-' Date: ...z "'b - 9 9
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