HomeMy WebLinkAboutSump Pump Inspection
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Name:
City of Prior Lake
Sump Pump and 1/1 Reduction
Inspection Form
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Address: Ill. q -rG
srorM S
Cl'r,
Date: "5-Z - q1-Time:_<;"""_'Ga.m~
First Inspection ~Second LJ .~_5
Own:~Rem:Q AgeofHome:~
Residential: ~
N on-Residential: LJ
Prior Lake, MN 55 ~7 2..:.-
Phone:
A.
BASEMENT ~s 0 No
WAl~KINBASKET o Yes ~
WATER IN BASEMENT (flow over floor)
SUMPBASKET 0 0 a-i 0 2 0 3 0
SUMP PUMP ~ 0 1 0 2 0...>-0
o Yes a:I..NO CISTERN 0 Y es ~o
(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
~s 0 No DISCHARGE: 0 Near O/Away
o Yest3'No WINDOW WELLS O/fesO No
o Yes 91\l0
B.
C.
ROOF LEADERS:
YARD DRAINS
BEAVER SYSTEM
D.
PROPERlu.S 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: ~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 ~ent.
Is there another place where clear water enters the sanitary sewer system? 0 Yes p--'No
Where is this location?
This area will need to be f!?ed so the clear water discharges to the storm sewer system.
Inspector: /~ Date:. ",?"e;;<-_ 9?
Resident: 'f!/ V)..t';J-/;;.,J /~ 7~ .1c1 ./' /' Date:
./
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