HomeMy WebLinkAboutSump Pump Inspection
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City of Prior Lake
Sump Pump and III Reduction
Inspection Form
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Date: 2-.2<1-'11 Time:12:15".a.m.@
Name: Arnold;)
,
Prior Lake, MN 55:5 7 Z.
Phone:~~7-2~OI
First Inspection ~ Second a
Own: ~Rent;)j Age of Home:
Residential: ~
Non-Residential: 0
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Address: 3011./ 5prl'hCj Lk R~
A. BASEMENT ~s 0 No SUMP BASKET lB"'O 0 1 0 2 0 3 0
W AUJR IN BASKET 0 Yes lB1'ro SUMP Pl.!1\fP ~ 0 1 0 2 O..J 0
WATER IN BASEMENT (flow over floor) 0 Yes ~o CISTERN 0 Yes 91fo
(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
o Previous system failed
o Other
B.
C.
ROOF LEADERS:
YARD DRAINS
BEAVER SYSTEM
~es 0 No
o Yes ~
DYes 19"'No
DISCHARGE: 0 Near Q--Away
WINDOW WELLS 0 Yes ~o
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 Winter
o Side
-----------------------------------------------------------------------------------------------------------------------------------
NOTES:
SUMP PUMP SYSTEM: 'XPASS 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? a Yes ~
Where is this location?
This area will need to be fixed so the clear water discharges to the storm sewer system.
Inspector: ~~~ Date: ~-.;z</-99
Res;ctent: 1; ~ - 'lo....p ~~ ...../rfb . Date:
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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 aU City Codes.
White: Homeowner
Yellow: City
Pink: HRG