HomeMy WebLinkAboutSump Pump Inspection
City of Prior Lake
Sump Pump and III Reduction
Inspection Form
Name:
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Date: '1- 2}- 'l~ Time: It; J Q a.m./p.m.
First Inspection ~ Second 0
Own: g/' Rent: 0 Age of Rome: bO
Residential: GJ--'
Non-Residential: 0
Prior Lake, MN 55 ~ 7..J Phone: 'it.; 7- 3191
A.
BASEMENT ~es ONo
WAT~K IN BASKET 0 Yes 0 No
WATER IN BASEMENT (flow over floor)
SUMP BASKET 13""0' 0 1 0 2 0 3 0
SUMP PUMP l?"o 0 1 0 2 0 3 0
l3'Yes 0 No CISTERN 0 Yes 9-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
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o Home came with system
o Water in basement
o Response to inspection program 0 Other
o Previous system failed
~Yes1#1qo DISCHARGE: ~ar 0 Away
o Yes ~o WINDOW WELLS 0 Yes g-1;io
o Yes ~No
'"" 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? LJ Front LJ Back
o Winter
LJ Side
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NOTES:
SUMP PUMP SYSTEM:
./
~ASS
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.
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DYes
Is there another place where clear water enters the sanitary sewer system?
Where is this location?
This area will need to be fixed so the clear water discharges to the storm sewer system.
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Date:
Date:
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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