HomeMy WebLinkAboutSump Pump Inspection
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Address:
City of Prior Lake
Sump Pump and III Reduction
Inspection FOlll1
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Date: 5; I <6-7''1
Time:z:/5 a.m~
Name:
Prior Lake, MN 55)'72-
Phone:
First Inspection ~ Second 0
Own: 0 Rent: ~Age of Home:
Residential: ~
Non-Residential: 0
A. BASEMENT 0 Y es ~ SUMP BASKET llti) 0 1 0 2 0 3 0
WATER IN BASKET 0 Yes 0 No SUMP PUMP ~ 0 1 0 2 0 3 0
WATER IN BASEMENT (flow over floor) 0 Yes 0 No CISTERN 0 Yes CJ..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
B.
C.
ROOF LEADERS:
YARD DRAINS
BEAVER SYSTEM
~s 0 No
o Yes ~o
o Yes ~o
DISCHARGE: 0 Near 0 Away
WINDOW WELLS 0 Yes g---No
D.
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
o Winter
o Side
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SUMP PUMP SYSTEM:
~P ASS 0 FAIL You have 30 days to bring your system into compliance with current
regulations. When you are ready for reinspection, caI/651/644-1469 for an appointment.
Is there another place where clear water enters the sanitary sewer system? 0 Yes 0 No
Where is this location?
This area will need to be f~ed s~ the ,clear water discharges to the storm sewer system.
Inspector: , frL-::- g-~ /I I. Date: -S- /7'-99
Resident~1;1v'lcht~l{ (f _ "'/;J/.JJ/ Date:
Disclaimer: This visual inspection is done with due diligence to fmd obvious clear water cross-connections
and does not imply the structure meets all City Codes.
White: Homeowner
Yellow: City
Pink: HRG