HomeMy WebLinkAboutSump Pump Inspection
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City of Prior Lake
Sump Pump and III Reduction
Inspection Form
Name:~{) l"Y'It:'\~
I
R:,. l d J
Date:J;i- 17 tLTime: } 7D 0 a.m./p.m.
First Inspstion ~Second 0
Own: ~ Rent: 0 Age of Home: 6 vt.-
Residential: g--- ;' .
Non-Residential: 0
Address: Ifi70 W~sf Av. 5E
Prior Lake, MN 55 37:;..
Phone: L.} '10' '10() 7
A.
l,.J~#" r-_~
BASEMENT 0"Yes' a No SUMP BASKET er-o a 1 a 2 a 3 a
WAl~K IN BASKET a Yes ~ SUMP PUMP 13'1> a 1 a 2 a 3 a
WATER IN BASEMENT (flow over floor) a Yes a1i1O CISTERN a 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:
a Laundry tub
a Floor drain
a Outside
a Sanitary sewer
a Other
Prior to Inspection:
When was system installed, or most recently modified? (Date)
and why
a Home came with system
LJ Water in basement
a Response to inspection program a Other
LJ Previous system failed
~ a No DISCHARGE: a Near t3'"P:Way
a Yes a-1ifu WINDOW WELLS a Yes ~
a Yes ~
B.
C.
ROOF LEADERS:
YARD DRAINS
BEAVER SYSTEM
D.
PROPERTIES WITH SUMP PUMPS'
When does pump run? LJ Fall LJ Summer LJ Spring
(check all that apply) How often does pump run?
Where does pump discharge to outside? LJ Front a Back
LJ Side
LJ Winter
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SUMP PUMP SYSTEM:
~S a F AIL Yo~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 Y es ~
Where is this location?
This area will need to be fixed so the clear water discharges to the storm sewer system.
Inspector~ J~,J hv(~ Date: ~,;)7 - '7'
Resident: ~MA"\.~ Date: j'-.:17' '17
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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