HomeMy WebLinkAboutSump Pump Inspection
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City of Prior Lake
Sump Pump and III Reduction
Inspection Form
Name: kV\; '1 L t \ Tk ()Vv-\(A _
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Address:
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Date: !)- /- 99 Time: /20 () a.m./p.m.
First Inspection ~ Second 0
Own: 13"" Rent: 0 Age of Home: 71
Residential: g-
N on-Residential: 0
Prior Lake, MN 55 -; 7 :)
Phone: LjL/ 0- ::7?L/
A.
BASEMENTV<"~: aNo SUMPBASKET ~ a 1 a 2 a 3 a
WATER IN BASKET a Yes a No SUMP PUMP I?"o a 1 a 2 a 3 a
WATER IN BASEMENT (flow over floor) a Yes ~o CISTERN a Yes i3"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:
a Laundry tub
a Floor drain
a Sanitary sewer
a Other
a Outside
Prior to Inspection:
When was system installed, or most recently modified? (Date)
and why
a Home came with system
a Water in basement
a Response to inspection program a Other
a Previous system failed
l3'Yes a No DISCHARGE: a Near ~ay
~~o WINDOW WELLS a Yes a No
aYes CJ..-No
B. ROOF LEADERS:
C. /.vARD DRAINS
I BEAVER SYSTEM
D. i PROPERTIES WITH SUMP PUMPS
\ When does pump run? a Fall a Summer a Spring a Winter
\ (check all that apply) How often does pump run?
\~here does pump discharge to outside? a Front a Back LJ Side
-~C;;:iis:'-'---T5;~:~:~~------~e~----'-f)~-::-~;~-~-~------------------------------------------.-------------------------------
17.
SUMP PUMP SYSTEM:
~SS a 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.
Is there another place where clear water enters the sanitary sewer system? 0 Yes ~o
Where is this location?
This area will need to be fixed so the clear water discharges to the storm sewer system.
---...... .. .
Inspe. ctor: /, V1'i.. 1J--1.j! ~______ Date: ) - I. 9 1
Resident: I !#7J/~/;; t/ Date: 1_ / - q?
Disclaimer: This visuat 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