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HomeMy WebLinkAboutSump Pump InspectionCity of Prior Lake Sump Pump and I/I Reduction Insnection Form Name: ~~'~~~~~ °~'~-"t"~"` Dat~~~'" 9~Time~~~mJp.m. ~ ~ First In~spect~io ~cond ~ / Address: ~~~~ ~~~~'~ ~~~J~~~ Own: l~-"TZent: ~ Age of Home:Zto 2 /!,/ Residential; ~-'''~ ~ Prior Lake, MN SS d~~ Phone'Y`~ p a~~ ~ Non-Residential: ~ A. BASEMENT ~es ~ No~ SiJMP BASKET ~!/L7 1~ 2 ~ 3 ~ WATER IN BASKET ~ Yes o SLJMP P~ ~ 0 ~ 1 O 2- a~- /3 ~ WATER IN BASEMENT (flow over floor) a Yes ~L~QO 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: d Laundry tub ~ Sanitary sewer d Outside ~ Floor drain ~ Other ~.---- Prior to Inspection: When was system installed, or most recently modified? (Date) and why Q Home came with system O Response to inspection program Q Other L7 Water in basement ~ Previous system failed B. ROOF LEADERS: ~ Yes ~1Vo DISCHARGE: ~ Near ~ Awa C. YARD DRAINS ~ Yes I~~'N~ WINDOW WELLS m~es ~ No BEAVER 5YSTEM L~ Yes f~'No D. PROPERTIES WITH SUMP PUMPS When does pump run? O Fall Q Summer Q Spring d Winter (check all that apply) How often does pump run? ~'" Wrhere does pump discharge to outside? ~ Front ~ Back ~ Side ---•-•---•---~---•-•-•-•-•-•-•-•-•---•-•-----•-•-•-•-•-•-•---•-•-•---•-•-----•---•---•- ~'= -----•-•-----•---•-•---•-----•---•-•- NOTES: / SUMP PUMP SYSTEM: LO/PASS ~ FAIL You have 30 days to bring your system into compliance with current regulations. When you are ready for reinspectinn, ca11651 /644-1469 for an ap ent. Is there another place where clear water enters the sanitary sewer system? ~ Yes C~"~~ Where is this location? This area will need to ix s the clear w r~arges to the storm sewer system. Inspector: ~.J • ~~~``'~ '""~----~-- Date: „~ - G 3 - Resident`~ , , ~ ~ / _ . _ Date: ~- Z3- Disclairaer: 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. White; Homeowner Yellow: City Pink: HRG