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HomeMy WebLinkAboutSump Pump Inspection~° a PRI p~ ~ F ~~ ~ -~ ~~ ~ ~<<. ~ ~ City of Prior Lake Sump Pump and IiI Reduction ection Form ,~~~~~ Name: / /s~~r~GG'~ti; ,/~C)~3.~~c..°7~ Datg,:.~~-~Or~,9 Tim~,~~~ a.m./p.m. First Inspect' ~cond ~ Address:~.~~ ,~.4.~~~~~D ~/~' ~~ Own: ent: ~ ge of Home: ~,~ -~ ~/,/ ./ Residential: ~ Prior Lake, MN 55 ~~~ Phone:'>`'`~` 7'~'`~`~'~ Non-Residential: ~ ~ , f,,,, v wc= K.. s-- - A. BASEMENT es ~~~' SUMP BASKET ~ 0 ~2 ~ 3 ~ WATER IN BA5KET t9~ s~ No SL1MP~]~~ ~ 0 ~ 2~ WATER IN BA5EMENT (flow over floor) ~ Yes o CISTERN Q 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 ~ Laundry tub ~ Sanitary sewer utside at Inspection: ~ Floor drain CJ Other Prior to Inspe ion: When w ystem installed, or most recently modified? (Date) Home came with system ~ Response to inspection program ~ Other and why ~ Water in basement ~,-Pre ' s system failed B. ROOF LEADERS '~ ~~ Yes ~ No DISCHARGE: ~ Near AI~ way ~P~ _~~~~ ~~ C. YARD DRAINS ~ Yes ~ N WINDOW WELLS L~ Yes IDiNo BEAVER SYSTEM ~ Yes ~~~ D. PROPERTIES WITH SUMP PUMPS When does pump run? ~ Fall ummer rin ~~ter ~ (check all that apply) How often does pump run? f~~~ 'q ~~~~ Where does pump discharge to outside? ~ Front C] Back ~' e NOTES: SUMP PUMP SYSTEM: ~~ASS L'] FAIL You have 30 days to bring your system into comp[iance with current regulations. When you are ready for reinspection, ca[[ 651 /644-1469 for an appoi nt. Is there another place where clear water enters the sanitary sewer system? ~ Yes o Where is this location? This area will need t~ fi~o the cl~w~r discharges to the storm sewer system. I Inspector: Resident: Date: ...~ - ~ ~ ' ' Date: " ~ ~ - I Disclaimer: T~ris visual inspectioi4 is done with due diligence to find obvious clear water cross-connections I { and does not impl_y the structure meets all City Codes. White: Homeowner Yellow: City Pink: HRG