HomeMy WebLinkAboutSump Pump Inspection
A.
City of Prior Lake
Sump Pump and III Reduction
Inspection Form fiJpp/f
Name: -,;;f:'~AI~J-L- I. ~ay'.cAlE Date:8-/~ -99Timel~a.m./p.m.
,
/~ ~. / /) (? _ Firstlnsp~n ~nd 0
Address:/v7~ / u/~S/ /'1 V u ~ Own: iY'Rent: 0- Age ofHome:SOl{~5
.//-.I..; L""'ron Residential: IJV'" ~.
Prior Lake, MN 5537:b Phone:Y 'Y'O-v.;::x::)~ Non-Residential: 0
/ ~
BASEMENT ~ a No /' SUMP BASKET ~A 1 a 2 a 3 a
WATER IN BASKET aYes ~ SUMPPI~ ~ a 1 a 2 Q...Ya
WATER IN BASEMENT (flow over floor) a Yes ~ CISTERN a 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:
a Laundry tub
a Floor drain
a Sanitary sewer
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a Other
a Outside
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Prior to Inspection:
When was system installed, or most recently modified? (Date)
and why
C.
ROOF LEADERS:
YARD DRAINS
BEAVER SYSTEM
a Response to inspection program a Other
a Previous ~ failed
a Yes~,.., DISCHARGE: a Near a Away
a Yes ~N~ WINDOW WELLS a Yes ~
aYes rtY'No
a Home came with system
o Water in basement
B.
D. PROPERTIES WITH SUMP PUMPS
When does pump run? 0 Fall 0 Summer 0 Spring 0 Winter
(check all that apply) How often does pump run? ~
Where does pump discharge to outside? 0 Front 0 Back 0 Side
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NOTES:
//
SUMP PUMP SYSTEM: I3"'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 ~ntment.
Is there another place where clear water enters the sanitary sewer system? 0 Yes d' No
Where is this location? /"l
This area will need t~ ~e~tt1.e clear ?~arges to the storm sewer system.
Inspector: ~ . jtC//~r' ~ . Date: 3-/6-~~
Resident:' 'I. ~a.-.A...t\{-t.. ~~. Date: ...3-/6-93
,
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
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