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HomeMy WebLinkAboutSump Pump Inspection` ~) ~F PRtp~ l ~ / ~~ ~ ~ ~ ~ J Inspection Form ,,~~,~Jr 4~ -~ '~ r Name: ./`~~/~/~ ~1~~~ Dat~/-~~' ~~Tir~~~~~Qm./p.m. `..~ ~ -~ ~~ First In~sp_e ~' n econd ~ ~/ Address:~~ ~~~ ~~~~ ~7~ ~l.~ Own: C~'' Rent: O Age of Home: `~' ~ ~ y~ ,~/L/ Residential: ~~ ~ Prior ake, MN 55~/~ Phone:I" "7 ~'~~~ Non-Residential: ~ ~,. . ~ ~. _ f ~ A. BASEMENT Lt3^' C~es ~I~~ SiIMP BASKET ~ 0 ~ 2 ~ 3 ~ WATER IN BA5KET ~'Yes Q No SUMP P~~'"~ 0~ 1 ~ 2 ~ 3 WATER IN BASEMENT (flow over floor) ~ Yes ~~ N o CISTERN ~ Yes ~ (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 ~ Prior to Inspection: When s system installed, or most recently modified? (Date)_ Home came with system a Response to inspection program ~ Water in basement ~ Previ system failed ~_.--- and why ~ Other B. ROOF LEADERS: es ~ No DISCHARGE: ~ Near Q~"Away ~ " ~ C. YARD DRAINS I~ Yes C f ~N WINDOW WELLS ~ Yes Q No BEAVER SYSTEM , ~ ~ Yes f~No D. PROPERTIE5 WITH SUMP PUMPS When does pump run? Q Fall ~ Summer ~ Sprin~ ~ Winter (check all that apply) How often does pump run? V~here does pump discharg e to outside? I~ Front O Back O Side NOTES: SUMP PUMP SYSTEM: ~PASS ~ FAIL You havc 30 days to bring your system into compliance with current regutations. When you are ready for reinspection, ca11657/644-1469 for an appo' ent. Is there another place where clear water enters the sanitary sewer system? ~ Yes o Where is this location? This area will need to be ed so clear wa~r disc arges to the storm sewer system. , ; Inspector: - `" Date: ..~ - / ~ - ' Date: - / Resident: ~ (~ ~. _ Disclaimer: `fb`is visual inspection is done with due diligence to find obvious clear water cross-connections and does not imnlv the structure meets all Citv Codes. City of Prior Lake Sump Pump and I/I Reduction White: Homeowner Yellowc` City Pinkc I~RG '' ;