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HomeMy WebLinkAboutSump Pump Inspection~ ~~ . ~ - ~ ~~ ~~ ~•~y.~~-, M l 4 d / f_1 ~,~. ~y'l. ,,~; / ~~~`~~ ~~ ~.~• ,,,./ ~ ~,1 ...-~f ~ ~'~t..~ ~. i City of Prior Lake Sump Pump and I/I Reduction Insuection Form r'" -~ r / ~'1 Name: i~,,~pl.--~,~~//Cf/~~~G ~/`~~t,~'~,~.- Date: ~':.~~o -- `,~'~ Time: r a.m:~:m. _._- ~,. ~.- First Inspection ~ Second C7 Address: ~~j ~~ ~~t~ ''~ ~~ Own~ Re t: ~ Age of Home:~ ~ Residential: ~ Prior Lake, MN 55 Phone~ ~~,,,3,~,~ Non-Residential: ~ A. BASEMENT ,~ Yes Q No SUMP BA5KET D 0~ 1 I~ 2~ 3 ~ ~"`°~ WATER IN BASKE~~C~' Yes ~ No S P iJMP ~ 0~ 1~ 2 ~ 3 ~ - WATER IN BA5E E~N1~ (flow over floor) Q Yes No CISTERN ~ Yes No (If no pump, place sticker across edge of sump cover and basement floor so any remova of cover will break seal. Skip to Part B of this form.) Discharge Point ~ Laundry tub ~ Sanitary sewer ~ Outside at Inspection: ~ Floor drain ~ Other B. C. D. NOTES: ~ Spring ~ Winter ~ Back Side SUMP PUMP SYSTEM: ~PASS ~ FAIL You have 30 days to bring your system into compliance with current regulations. When you are ready jor reinspection, cal! 651 /644- 469 for an appointment, Is there another place where clear water enters the sanitary sewer system? ~ Yes No Where is this location? This area ' ne to ixed so the~lear wa~ter discharges to the storm sewer system. Date: f : Date: Disclaimer: This visual inspection is done with due diligence to find obvious clear water cross-connections and does not imply the structure meets all City Codes. Prior to Inspection: . When was system installed, or most recently modified? (Date) and why ~ Home came with system ~ Response to inspection program a Other ~ Water in basement ~ Previous system failed ROOF LEADER5: ~Yes ~ No DISCHARGE: ~ Near Away YARD DRAINS ~ Ye No WINDOW WELLS ~ es ~ No BEAVER SYSTEM ~ Yes No PROPERTIES WITH SUMP PUMPS When does pump run? ~ Fall ~ Summer (check all that apply) How often does pump run? V~here does pump discharge to outside? I~ Front -•- -~----~-----~•-~ •-•-•-•-- -~ ---•-•-•-----•---•-•-•-•-•------ White: Homeowner Yellow: City Pink: HRG