HomeMy WebLinkAboutSump Pump Inspection
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City of Prior Lake
Sump Pump and III Reduction
Inspection Form
Name: fVi'(...4Jo/l.. \.;'/.,v-{I"V'I
Date: t - 1. 1r Time: It J D a.m.lp.m.
Address:30 J (
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First Inspection 13" Second 0
Own: ~Rent: 0 Age of Rome:
Residential: g-
Non-Residential: 0
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Prior Lake, MN 55.) 7...L
Phone: LillO, :1/7 J
A.
V'" .. /11 v'" .J- ~
BASEMENT ~ es 0 No SUMP BASKET eJ o' 0 1 0 2 0 3 0
WATER IN BASKET 0 Yes 0 No SUMP PUMP ero 0 1 0 2 0 3 0
WATER IN BASEMENT (flow over floor) 0 Yes ~ CISTERN 0 Yes ld'No
(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
o Response to inspection program 0 Other
o Previous system failed
B'Yes 0 No DISCHARGE: EY'N'ear 0 Away
B.
C.
ROOF LEADERS:
YARD DRAINS
BEAVER SYSTEM
DYes l3-"No
DYes l5"No
WINDOW WELLS 0 Yes I3"'"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 Side
o Winter
NOTES:
~SS 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 ~o
Where is this location?
This area will need to be?fixed so the clear water discharges to the storm sewer system.
Inspector: ---;;L:.;" ~~~ /" Date: t. 7 ~ 91
Resident: Ii h- ,(/,_~._ ~ Date: t- 1-Q.,
{/I4J.Lf/(~' :~
Disclaimer: This vt!maJ ImfpecfIon ~one with due diligence to rmd obvious clear water cross-connections
and does not imply the structure meets all City Codes.
SUMP PUMP SYSTEM:
White: Homeowner
Yellow: City
Pink: HRG