HomeMy WebLinkAboutSump Pump Inspection~~ PRI p
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Insnection Form
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Name: ~~ ~~~~ ~ ~''~d~~~ Date`~' ` ~' ~.~ Time;~~~a.mJp.m.
°-' '~~First In~sp~e ° n ~-^'S'econd ~
Address: ~~~Q ~~~~~~~a1~ /~l/ Own: ~ Rent: Age of Home: i
, Residential: ~
Prior La~ce, MN 55 ~~~ Phone~/'~~..~ '~~~~Non-Residential: ~
A. BASEMENT ~es~~o~ SiJMP BASKET Q 0~~'I ~ 2 ~ 3 D
WATER IN BASKET es o SiJMP P~ ~~ ~ 1 Q 2~ Q~ ~
WATER IN BASEMENT flow over floor ~ Yes I~YNo CISTERN ~ Yes 4~'No
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(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 sewe~ ~ Outside
at Inspection: ~ Floar drain ~ Other
Priar to Inspection:
When s system installed, or most recently modified? (Date)
Home came with system ~ Response to inspection program
~ Water in basement Q Prev' s system failed
~ Other
and why
B. ROOF LEADERS i~~ es ~ No - DISCHARGE: 17 Near vay~
P~ ~~/ ~/
C. YARD DRAIN5 CI Yes C~~~N ' WINDOW WELLS O Yes ~~1Vo
BEAVER SYSTEM C7 Yes C~'No
D. PROPERTIE5 WITH SUMP PUMPS
When does pump run? O Fall ~ Summer ~ Spring a Winter
(check all that apply) How often does pump run?
Where does pump discharge to outside? ~ Front ~ Back C] Side
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NOTES:
SUMP PUMP SYSTEM: L'~YPASS ~ FAIL You have 30 days to bring your system into comp[iance with current
regulaaons. When you are ready for reinspection, ca[I 651 /644-1469 for an ntment.
Is there another lace where clear water enters the sanita sewer s stem? ~ Yes ~ No
P rY Y
Where is this location?
This area will need to ix~ the clear~ater discharges to the storm sewer system.
Inspector~
Resident: ~ ,.
Date: ' i~ ~ 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 Pink: HRG