HomeMy WebLinkAboutSump Pump Inspection
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City of Prior Lake
Sump Pump and III Reduction
Inspection Form
5wA h:>'Vn I VA rH( I
Prior Lake, MN 5537 z....
Phone:
Date: ? -I g- -1 t:J Time:::) ~o (l a.m.~
First Inspection ~ Second 0
Own: g--.Rent: 0 Age of Home:
Residential: ~
Non-Residential: 0
Name:
Address:
/6}J 0 tJ~ 5+ A //,
A.
BASEMENT a;rY es a No.. SUMP BASKET a 0 il:Y1 a 2 a 3 a
WATER IN BASKET aYes ~ SUMP PUMP kJ4) a 1 a 2 a 3 a
WAn~..R IN BASEMENT (flow over floor) a Yes 191io CISTERN a Yes 1i>"N'0
(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 Previous system failed
a Other
B.
C.
ROOF LEADERS:
YARD DRAINS
BEAVER SYSTEM
~s a No
DISCHARGE: a Near g..-:;\way
WINDOW WELLS a Yes~
a Yes i1YNo
a Yes ~o
D.
PROPERTIES WITH SUMP PUMPS
When does pump run? a Fall a Summer
(check all that apply) How often does pump run?
Where does pump discharge to outside? a Front
a Spring
a Winter
a Back
a Side
---------.---------------.-------------------------------.-.-------------.---------------.---------------------.---.-------.---.---
NOTES:
SUMP PUMP SYSTEM:
-j P.ASS
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 y?e6d so the cl.ear water discharges to the storm sewer system.
Inspector: ~ ~ Date: 5-18:'-9'7
Resident: ~-v/":;.....s . ~.. ~ Date:
~ . ..- -~-
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
"i
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