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HomeMy WebLinkAboutSump Pump Inspection 6051 ~ 1+_. City of Prior Lake Sump Pump and III Reduction Inspection Form /;ppJi eM f.{~ S Name: g/Ck'6'r-r; Data3-I/- 99 Time/*)~a.m./p.m. First Insp~n ~ond.J "'2 Own: ~ Rent~ Age of Home~O~i 5 Residential: iB"" ...J Non-Residential: 0 )/~ Address:/6"'.2' 3~ ",E' fJt;..e W,c;;, 7Ee-8e Prior L~e, MN 553'ttJ Phone)/'-I-1-I.t/5y /"":1' J /-/"1 / /'v (../\-'V """',1(../ . = / BASEMENT (YYes 0)10 SUMPBASKET 0 0 ~ 2j; 0 WATER IN BASKET Mes 0 No SUMP P 0 0 Q'1 0 2 3 0 WATER IN BASEMENT (flow over floor) 0 Yes ~ CISTERN 0 Yes 0 A. (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: o Laundry tub o Floor drain ~:' o Sanitary sewer o Other B. C. Prior to Inspection: /1 r ~ When was system installed, or most ~tly modified? (Date)-I./'C /c and wh,' o J;I<(xlle came with system riesponse to inspection program 0 Other ~Water in basement 0 P~us system failed ". ROOF LEADERS: a:v'Yes 0 " DISCHARGE: 0 Near ~ay YARD DRAINS 0 Yes cr'..>kf WINDOW WELLS 0 Yes ~ BEAVER SYSTEM 0 Yes [j"'No PROPERTIES WITH SUMP PUMPS ,/, il?fii When does pump run? 0 Fall ~ummer pZJ.~ /? 0 Wjnts. (check all that apply) How often does pumo-nlll? ;c'76 K.,1::J1N ~!lE~-r Where does pump discharge to outside? ~ont 0 Back 0 Side D. NOTES: /' SUMP PUMP SYSTEM: OA"ASs 0 FAIL You have 30 days to bring your system into compliQl ce with current regulations. When you are ready for reinspection, call 651/644-1469 J or an yntment. Is there another place where clear water enters the sanitary sewer system? 0 Y es ~o Where is this location? This area will need to ~e~e clear J'ater~harges to the storm sewer system. Inspector: ~ .f/'~~ Date: -:j-I/- 991 Resident:; t=1-{Y1da---b.tt.d:P_~ Date: J -/ 1- '"7 ~ i Disclaimer: This visual inspection is done with due diligence to rmd obvious clear water cr01 'S-connections and does not imply the structure meets all City Codes. White: Homeowner Yellow: City Pink: HRG