HomeMy WebLinkAboutSump Pump Inspection
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City of Prior Lake
Sump Pump and III Reduction
Inspection FOI!!!
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Address: 4 07;;;. ~J~, 0(\ T?r " ,-1.",.., (IR IJ E
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Prior Lake, MN 55.3 7.:2
Phone: 41.../7- '/6 7'l
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BASEMENT I3"f es 0 No
WATER IN BASKET o Yes ~o
WATER IN BASEMENT (flow over floor)
A.
Date: r- 1- f1 Time: J) t;d a.m./p.m.
First Inspection fY'" Second 0
Own: ~ Rent: 0 Age of Home: 1../
Residential: g--
Non-Residential: 0
SUMP BASKET 0 0 er'l' 0 2 0 3 0
SUMP PUMP i?"o 0 1 0 2 0 3 0
o Yes Id-No CISTERN 0 Yes 8-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
o Previous system failed
o Other
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
B.
C.
ROOF LEADERS:
YARD DRAINS
BEAVER SYSTEM
D.
l3""Yes 0 No
o Yes ~o
o Yes l34\fo
DISCHARGE: 0 Near ~way
WINDOW WELLS 0 Yes ~
o Winter
o Side
-------------------.-.-.-.-----------------.-.-.-.---------------------------------------.-.-------------------------.-------------
NOTES: 1<'t!~I'J,..,,f be (,'ev,.1 11..,1 ~ ~c.._" hc"rk~-r ;s t'tJv~'('d bf Cet"'~+'
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SUMP PUMP SYSTEM:
B1> ASS 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.
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Is there another place where clear water enters the sanitary sewer system? 0 Yes
Where is this location?
This area will need to be fixed so the clear water discharges to the storm sewer system.
Inspector:
Resident:
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Date:
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 all City Codes.
White: Homeowner Yellow: City Pink: HRG