HomeMy WebLinkAboutSump Pump Inspection~F PR.~p~
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Insnection Form
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(~, Name• , Date: Time• a.m./p.m.
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~g ~~ ~~~ f'O~ ~, ~ / ~L~ First In~spef~on Second ~ /2
Address: ~ Own: @~' Rent: CJ Age of Home: /
~i //~/ Residential: ~ ~
Prior Lake, MN 55 ~/~i Phon~`~''`~ ~~~~3 Non-Residential: ~
A. BASEMENT es ~ No /~ 5UMP BASKET O,~ I~/1 I~ 2 l7 3~
WATER IN BASKET ~ Yes 19'No SiJMP P~ P C9' 0 0 1 ~ 2 ~.3 O
WATER IN BASEMENT (flow over floor) ~ Yes L~J"No CISTERN ~ Yes ~o
(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
at Inspection:
Q Laundry tub
~ Floor drain
Prior to Inspection: '~/
Whe as system installed, or most recently modified? (Date) and why
Q Home came with system ~ Response to inspection program ~ Other
O Water in basement Q Previous sy failed
B. ROOF LEADER5: ~ DISCHARGE: ~ Near ~ Away
C. YARD DRAINS ~ Yes ~
~N '`• WINDOW WELLS Q Yes ~ No
BEAVER SYSTEM ~
~ Yes C~No
D. PROPERTIES WITH SUMP PUMPS
When does pump run? ~ Fall ~ Summer ~ Spring ~ Winter
(check all that apply) How often does pump run?
V~here does pump discharge to outside? ~ Front ~ Back ~ Side
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NOTES: •---•---•---•-------•-•-•-• ---•-•-----•-----•-•-•;,;_: -•-•-•-•-• -•-•-•-•---•-•-
SUMP PUMP SYSTEM: ASS ~ FAIL You have 30 days to bring your system into compliance with current
regulations. When you are ready for reinspection, cal! 651/644-1469 for an pointment.
Is there another place where clear water enters the sanitary sewer system? ~ Yes ~'No
Where is this location?
This area will need to b ixe~a6'the clear ~ter~arges to the storm sewer system.
Inspector:
Resident:
City of Prior Lake
Sump Pump and I/I Reduction
Date: '`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.
Yes ~/
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~ Sanitary sewe ~ ~ Outside
~ Other _
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White: Homeowner Yellow: City Pink: HRG