HomeMy WebLinkAboutSump Pump Inspection
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City of Prior Lake
Sump Pump and III Reduction
Inspection Form
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Name: ~p' f/I' f ..;. .
Date: 7- J ~ 17 Time: /5/Ja.m.lp.m.
First Inspection a-- Second 0
Address: J ()! J, ;; '0 { : ,,1 <; 1 c.. t (' !? D f (..J Own: 13 Kent: 0 Age of Hom~: ~
( I . _ _Residential: Id-- I vV'(~ '-
Prior Lake, MN 55 ::'7..J... Phone:;);1 6 - 6 r ~ J Non-Residential: 0 .
A.
BASEMENT ~O No
WATER IN BASKET ~ ONo
WATER IN BASEMENT (flow over floor)
SUMPBASKET 0 0 cr( 0 2 0 3 0
SUMP PUMP ~0102030
o Yes ~ CISTERN 0 Yes /3-H(}
(If nb 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 Home came with system
o Water in basement
o Response to inspection program 0 Other
o Previous system failed
~ 0 No DISCHARGE: 0 Near ~
o Yes ~ WINDOW WELLS 0 Yes ~
DYes g.....rqo
B.
C.
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:
~S 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 Y es ~o
Where is this location?
This area will ~o be fixed so Jhe clear water discharges to the storm sewer system.
Inspector: vd Iv/(,J!~d Date: 7- J~ 90/
Resident: I I jO ~ . /1 __ Date: 7~] ~ '4'1
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Disclaimer: This visual inspection is done with du~ diligence to fmd obvious clear water cross-connections
and does not imply the structure meets all City Codes.
SUMP PUMP SYSTEM:
White: Homeowner
Yel1ow: City
Pink: HRG