HomeMy WebLinkAboutSump Pump InspectionCity of Prior Lake
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Time:~~G'~ a.m./p.m.
,~/ / `~r First Ins~pfe~~ ~ Second Q ,/
Address: (,~ 7100 ~~~C~/GU~400 ~t/ itJ.~G • Own: ~' Rent: Age of Home: ~'Y`(
,,,~ , Residential: ~ J
Prior L~ke, MN 55 ~,~~ Phone:~~+~ i~~~ ~ Non-Residential: ~
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Sump Pump and I/I Reduction
Ins~aection Form
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Name: , ~~' ~ Date~" ~~~~
A. BASEMENT ~~ ~ No~ SiJMP BASKET ~~ ~ 2 ~ 3 Q
WATER IN BASKET ~ Yes o SUMP~ P~IJM~~ ~ 0 O 1 O 2 ~~-~ 17
WATER IN BA5EMENT (flow over floor) ~ Yes Q~'"o CISTERN ~ Yes ~'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 ~ d Outside
at Inspection: ~ Floor drain ~ Other
Prior to Inspection: ` r
When w s system installed, or most recently modified? (Date) and why
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[~
Home came with system O Response to ins ection program ~ O
P ther
~ Water in basement ~ Prev' us system failed
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B. ROOF LEADERS: ~Yes ~ No DISCHARGEs ~ Near [~
~way
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C. YARD DRA NS ~ Y 19'N WINDOW WELI,S
es Q Yes l~~Ro
BEAVER SYSTEM ~ Yes o
D. PROPERTIES WITH SUMP PUMP5
When does pump run? d FaII d Swnmer d Spring a Winter
(check all that apply) How often does pump run?
Where does pump discharge to outside? ~ Front ~ Back ~ Side
NOTES:
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SUMP PUMP SYSTEM: 19~`PASS d FAIL You have 30 days to bring your system into compliance with current
regutations. When you are ready for reinspection, call 651/644-1469 for an nt.
Is there another place where clear water enters the sanitary sewer system? ~ Yes o
Where is this location?
This area will need to be f5~d ~e clear w,xter~d3,scharges to the storm sewer system.
~ Inspector: i ~ • ' ~"" ``~-~-'`" Date: .•G - `~ - y' ~ I
Resident: ~ `~~,~ ~ ~,, ~_ , ( ~~ (`~ `~ Date: - ~ 9
Disclaimer: This visual inspection is done with due diligence to find obvious clear water cross-connections
and does not imply the structure meets all Cit_y Codes.
White: Homeowner
Yellow: ~C-t~
Pink: HRG