HomeMy WebLinkAboutSump Pump Inspection~ ~ 4~ PRIp
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Prior to Inspection:
When was system installed, or most recently modified? (Date)_
Name: ~~./~~%'~~~~G Qi ~C.J~~~~~- Date:~-~~ ~/ Time~~Da.m./p.m.
First In,s~ tion ~cond 17
Address: ~o~~ ~~'U ~~~ ~Q ~ ~ Own: ~' Rent: Age of Home: ~~ S ~
,/_/ Residential: ~ ~
Prior Lake, MN 55 ~~~ Phone:'Y ~`~ "~~ '~'~ Non-Residential: ~
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A. BASEMENT es L~ No~ SUMP BASKET ~~ 1~ 2 ~ 3 ~
WATER IN BASKET Q Yes o SiJMP_P~_~ 0~ 1 ~ 2~ ~/ 3 O
WATER IN BASEMENT (flow over floor) ~ Yes L~3'Na CISTERN Q Yes L~"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 ,,~....17 Outside
at Inspection: ~ Floor drain ~ Other
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B.
C.
D.
NOTES:
~ Home came with system
Q Water in basement
ROOF LEADER5:
Inspection Form ;~~~J ~
and why
~ Response to inspection program ~ Other
~ Prev' us system failed
I~'Yes D No - DISCHARGE: ~ Near C9'"Away
YARD DRAINS ~ Yes ~~ WINDOW WELLS ~ Yes Q~~io
BEAVER SYSTEM ~ Yes dY'No
PROPERTIES WITH 5UMP PUMPS
When does pump run? ~ Fall ~ Summer ~ Spri~g_.. d Winter
(check all that apply) How often does pump run?
V~here does pump discharge to outside? ~ Front ~ Back O Side
SUMP PUMP SYSTEM: C9~PASS ~ FAIL You have 30 days ta bring your system into comp[iance with current
regulations. When you are ready for reinspection, call 651/644-1469 for an pointment.
Is there another place where clear water enters the sanitary sewer system? ~ Yes C~J"No
Where is this location?
'i'his area will need to be f~d s~ clear wat di~rges to the storm sewer system.
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I Inspector: ".-~l • fG~/'l ,-G?~ ~"" ,'"'"'' Date: ~ %G ` ~ 7 ~
Resident: ~,__'~~;•.y~a , ~'' ~ f,~;~~it 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