HomeMy WebLinkAboutSump Pump InspectionaF PRIp
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Insnection Form
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Name: ~,~~ .~.-~ / ~C.~ ~~0~~~ S
Date~~~ ~ 9 Time:~"Y~~a.mJp.m.
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/~ / ~ /~ First In~sp~e ~ n~ Second ~
Address: ~ (o~ ~ / ~~` ~ ~ ~~ Own: I~' Rent: ~ Age of Home:
!/~/~./ ~/ p,Residential: ~
Prior Lake, MN 55 ~~i~U Phone`Y7 /'"7~~! Non-Residential: ~
A. BASEMENT ~ s ~ No / SiJMP BASKET t~_ ~1~ 2 ~ 3 O
WATER IN BASKET a Yes t3~i~(o SUMP P~ [~ 0 17 1~ ~ 3 ~
WATER IN BASEMENT (flow over floor) t7 Yes ~~~Qo CISTERN e~~Y s i7 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 ~ Laundry tub ~ Sanitary sewer Q Outside
at Inspection: Q Floor drain O Other "~
Prior to Inspection:
When was systern installed, or most recently modified? (Date) and why
O Home came with system 17 Response to inspection program ~ Other
Q Water in basement C] Previo stem failed
B. ROOF LEADERS: es Q No DISCHARGE: ~ Near C9~way
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C. YARD DRAINS ~ Yes ~
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N WINDOW WELLS d Yes 19
No
BEAVER SYSTEM ~ -
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Yes ~Q"O
D. PROPERTIE5 WITH SUMP PUMPS
When does pump run? Q Fall a Summer
(check all that apply) ' How often does pump run?
V~here does pump discharge to outside? ~ Pront
Q Spring ~ Winter
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~ Back „_ ~ Side
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NOTES: ~ j O ~ / ~ / ~ ~ 7~~ -.
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SUMP PUMP SYSTEM: L~~ASS O FAIL You have 30 days to bring your system into compliance with current
regu[ations. When you are ready for reinspection, call 651 /644-1469 jor an appo ent.
Is there another plaee where clear water enters the sanitary sewer system? Q Yes L~#"~
Where is this location?
This area will need to f. so the clear ate is arges to the storm sewer syste~.
Inspector
D o..:.7 0«+.
Date: ''7`- /~
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.
City of Prior Lake
Sump Pump and I/I Reduction
White: Homeowner Yellow: City P'snk: HRG