HomeMy WebLinkAboutSump Pump Inspection
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City of Prior Lake
Sump Pump and III Reduction
Inspection Form
Name: ~ms /-llQe.-iG nate.3;--Z-97 Timel73Qm.lp.m
r: 9 .; L J S (I r' First Insp~ion ~ond CJ 9
Address: V / / ~ 0 f' E -r~,c:: Own: c;r' Rent: ~ Age of Home: Lf t. 'S
Residential: ~ -5
Prior Lake, MN 5537h Phone:.y!.yO-if89...9 Non-Residential: CJ
/ c j .; ./
/....!.)Wt: IV ~ ./ ~
BASEMENT Mes 0 J>kf' SUMP BASKET 0 0 1 0 2 0 3 0
WATER IN BASKET mxes 0 No SUMP PQ]\ft' 0 1 0 2 o:i 0
WAu~JR IN BASEMENT (flow over floor) 0 Yes ~o CISTERN 0 Yes ~-
(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 sewet'-
o Other
o Outside
Prior to Insp 'on:
When w system installed, or most recently modified? (Date)
and why
Home came with system
o Water in basement
o Response to inspection program 0 Other
o Pre~s system failed /
~ 0 Ny DISCHARGE: 0 Near e--Away ~
o Yes ~~ WINDOW WELLS 0 Yes ~
o Yes~
B.
C.
ROOF LEADERS:
YARD DRAINS
BEAVER SYSTEM
D.
PROPERuJ!.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: ~ (J FAIL y..haw"'days"'brlngyo."yn~"o_"w",~_
regulations. When you are ready for reinspection, call 651/644-1469 for an ~ent.
Is there another place where clear water enters the sanitary sewer system? CJ Y es ~
Where is this location? ,......--.) ,
This area will need ~.be~the clear_wa,,"'dis~ges to the storm sewer s~ste~.
Inspector:"':I/!irtly/",~~,-- Date: ~-2.-9~
Resident:.J. I. Date: .::s - z. - ~ ':J
. ,i, I
, .
Disclaimer: This Visw\1 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