HomeMy WebLinkAboutSump Pump Inspection
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City of Prior Lake
Sump Pump and III Reduction
Inspection FOI!!1 jJ,iJ,oJ.,-
Name: (r/ i7T1' U;;.JJ C;" D.re.Z::Z7-99 Timel'zOO.m.lp.m.
/
j ~ / / 1J CI e A/-G' First Inspe~ ~nd 0 -'7. J
Address:Y 098 a/;:;;qoA.! \D,eloy-5 Own: ~ Rent: 9'" Age of Home:P Il{e. >
3/Y//J ~ t h ' ,..,; ~ / Residential: IJY" J
Prior J..ake, MN 55 /"v PhoneY'Y?:":::>'Y~"f Non-Residential: 0
/ti"- I ./
/v V lAJe K/ ;- . ./ ./":
A. BASEMENT Mes 0 No / SUMP BASKET vcvtJ 1 0 2 0 3 0
WATER IN BASKET DYes I9'1fu SUMPP~ ~ 0 1 0 2 oy 0
WATER IN BASEMENT (flow over floor) 0 Yes ~ CISTERN 0 Yes ~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 ~us system failed .--/
tyYes~ 00 No DISCHARGE: 0 Near ~ay /
DYes WINDOW WELLS 0 Ye~
DYes 0
B.
C.
ROOF LEADERS:
YARD DRAINS
BEAVER SYSTEM
D.
PROPERTIES WITH SUMP PUMPS
When does pump run? 0 Fall 0 Summer 0 Sp~g
(check all that apply) How often does pump run?
Where does pump discharge to outside? 0 Front 0 Bac~
o Winter
o Side
-----------.-.-.-.-.-.-.-.---------.---.---.-.-.-.-.-------.-.---------.-------------------------------------.---.-.-.-.---------.-
NOTES:
/'
~S 0 FAIL You have 30 days to bring your system into compliance with c rent
regulations. When you are ready for reinspection. call 651/644-1469 for an 'Pointment.
Is there another place where clear water enters the sanitary sewer system? 0 Yes
Where is this location? ...-,
This area will ~ to b~ s~ clear w~ d"rges}o the storm sewer system.
Inspector: ( ~ . t:::/~~ Date: ~',Z:;7-. ~ ')
Resident: ~~~r ~A-z:r:r Date: ...z'~/-;f9
SUMP PUMP SYSTEM:
I I
DisClaimer: (9rls 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