HomeMy WebLinkAboutSump Pump InspectionCity of Prior Lake
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Name: /~i9 ~? f~l,CG ~ ,C/.~•t./
Inspection Form ,q~;~,~
Address: '7' ~'~~ ~~~C~ t,~7~ ~.G'~
Prior Lake, MN 55 ~~,~%~ Phone:y~~ =~9i3
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A. BASEMENT es ~ No~ / SiJMP BASKET ~ 0 ~.~'~ a 3 L7
WATER IN BASKET ~ Yes ~o SiJMP PLTM/P Q 0 19~1 Q 2_ ~ ~3
WATER IN BASEMENT (flow over floor) ~ Yes l~.~do CISTERN ~ Yes ~dO
(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 O Laundry tub O Sanitary sewer utside
at Inspection: a Floor drain ~ Other
Prior to Inspection: ..• ~/~ ~~ R ~
When was system installed, or most recently modified? (Date)~ ~!"~ ~and why
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L7 Home came with system ~ Response to inspection program ther ~u ~ d F~" ~''~'~ N~
Q Water in basement ~ Pre ' us system failed '~ ~~' ~
B. ROOF LEADERS: ~~ No DISCHARGE: ~ Near C~
C. YARD DRAINS ~~~ No WINDOW WELLS ~ Yes I~~o
BEAVER SYSTEM ~' Yes ~ No
Sump Pump and I/I Reduction
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Date:~" ~" ~ Time;~~ODa.m./p.m.
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First Inspec n ~cond ~ f,
Own: Rent: ~ Age of Home:~~ _
Residential: ~~ ~
Non-Residential: ~
D. PROPERTIES WITH SUMP PUMPS
When does pump run? ~ Fall ~ Summer pring ~ Winter
(check all that apply) How often does pump run? '~GJ ! C E / Q_, - S 1. 1 a M L ~-~
V~here does pump discharge to outside? ~ Front ~ Back e
NOTES:
SUMP PUMP SYSTEM: SS ^ 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 appo~ ra.
Is there another place where clear water enters the sanitary sewer system? ~ Yes ~L~
Where is this location?
This area will need to be ed s e clear w r' arges to the storm sewer system.
Inspector: Date: - - ~
Resident: ', Date: - -
Disclaimer: Tlus visual inspection is done with due diligence to find obvious clear water cross-connections
and does not imnlv the structure meets all Citv Codes.
White: Homeowner
Yellow: City
Pink: HRG