HomeMy WebLinkAboutSump Pump Inspection
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City of Prior Lake
Sump Pump and III Reduction
Inspection Form
Name: J../..a /\/0 f..f Oyt .Po I~+ if- J i.L'1
Address: 3 13 J S;) /I "" r L, L. f? D ~ f.;.J
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Prior Lake, MN 55 :3 7.J.. Phone: 'I'I()~ 6 :J ,.,
A.
1..-../., (l. ..... 1"
BASEMENT ~ LJ No
WATER IN BASKET LJ Yes ~
WAl~R IN BASEMENT (flow over floor)
SUMP BASKET LJ 0 ~ LJ 2 LJ 3 LJ
SUMP PUMP ~ LJ 1 LJ 2 LJ 3 LJ
o Yes I3"NO CISTERN 0 Yes C3-HtJ
Date: 7, 29- '11 Time: /2~S-a.m.lp.m.
First Inspection ~Second 0
Own: o--Rent: 0 Age of Home: 3/;J.
Residential: a--
Non-Residential: 0
(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)
o Home came with system
LJ Water in basement
and why
o Response to inspection program
LJ Previous system failed
o Other
PROPER 1 as WITH SUMP PUMPS
When does pump run? LJ Fall LJ Summer LJ Spring
(check all that apply) How often does pump run?
Where does pump discharge to outside? 0 Front 0 Back
B.
C.
~ LJ No
o Yes 4-
LJ Yes !?'"No
DISCHARGE: 0 Near ~ay
WINDOW WELLS 0 Yes ~
LJ Winter
-----.-----------.---.---.-.-.-.-.-.-------------.-.-.-----------.-.-----.-------------------------------.-.---------.-.-.-.-------
o Side
ROOF LEADERS:
YARD DRAINS
BEAVER SYSTEM
D.
NOTES:
SUMP PUMP SYSTEM:
~S
o 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 ~
Where is this location?
This area will need to be fixed so the clear water discharges to the storm sewer system.
Inspector: / ~~=t' ~. Date: "7- l <-/ - 9 '1
Resident: ' '" dI. ~ L----- Date: 7 - 7 'J - .,;
Disclaimer: This visual inspection is done with due diligence to fmd obvious clear water cross-connections
and does not imply the structure meets all City Codes.
White: Homeowner
Yellow: City
Pink: HRG