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HomeMy WebLinkAboutSump Pump InspectionCity of Prior Lake Name: (,.~,~OGC,s'~~~~ CJr~i`'f.C:-'.~ Date:~'~'~~ Time:~~.m./p.m. p O~'",~ n~„ ~, ~.~ First In~sp~e 'ion C~' Second ~ Address: ~g ~~~ C~ ~ Own: f~' Re~nt~: " Age of Home: ~~~( h '/ Residential: C9' J Prior Lake, MN 55 ~7 ~i~ Phone:'~'Y 7'..~~~~ Non-Residential: D A. BASEMENT ~'~'es O No~ ~ SUMP BASKET ~A~',~~' ~ 1 ~ 2 ~ 3 ~ WATER IN BASKET ~ Yes C7~No , SUMP P ~ 0 d 1~~ 2~~~~ 1~ WATER IN BA5EMENT (flow over floor) ~ Yes C~ CISTERN C7 Yes ~-IQo (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 C] Laundry tub ~ Sanitary sewer O Outside at Inspection: O Floor drain ~ Other "'~ Prior to Inspection: / When was system installed, or most recently modified? (Date) and why ~ Home came with system ~ Response to inspection program ~ Other ~ Water in basement I~ Previous syst failed B. ROOF LEADERS: ~ Yes ~ DISCHARGE: 17 Near ~ Awa Y C. YARD DRAINS Q Yes C~~~N ~ WINDOW WELLS ~~ No BEAVER SYSTEM ~ Yes Q''No D. PROPERTIES WITH SUMP PUMPS When does pump run? ~ Fall Q Summer {check all that apply) How often does pump run? Wthere does pump discharge to outside? ~ Front NOTES: SUMP PUMP SYSTEM: ~ASS ~ FAIL You have 30 days to bring your system into compliance with current regulations. When you are ready}'or reinspection, call 651/644-1469 for an appo ent. Is there another place where clear water enters the sanitary sewer system? ~ Yes LIYTTo Where is this location? This area will need to b~fixed ~ the clear~,~vateyc~ischarges to the storm sewer system. I Inspector:x ~~ Date: .G- ~` 7 7 Resident: ~ f,~ ,7 -G - ~ 9 Date: ~ a ~r~ . ~ Sump Pump and IiI Reduction Inspection Form ,~o~~ ~- O Spring ~ Winter ~ -Back O Side Disclaimer: This visual inspectiqn is done with due diligence to find obvious clear water cross-connections and does not imnlv the structu're meets all Citv Codes. White: Homeowner Yeliow: City Pink: HRG