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HomeMy WebLinkAboutSump Pump Inspection ~ C)" ",\0 ~\) f'y City of Prior Lake Sump Pump and III Reduction Inspection FOI!!! Name: Fi)((t?Jf~v I [Sr ,/ <AY1 / Date: {;; - ') '1- 19 Time: J 7-'f.s-a.m.lp.m. I First Inspection aSecond liJ Own: a---Rent: 0 Age of I:!ome: 1:( Residential: g-- I Non-Residential: 0 Address: J ') ;l 7/ r;.i r be,., j,; 11'1./ NE Prior Lake, MN 55 372 Phone: '1'-/7- S-6)-7 A. ~~ tto,-,,-r BASEMENT EJ""Yes 0 No WATER IN BASKET crfes 0 No WATER IN BASEMENT (flow over floor) SUMPBASKET 0 0 ~ 0 2 0 3 0 SUMP PUMP 13"1> 0 1 0 2 0 3 0 I o Yes l3'No CISTERN 0 Y es ~ , (If no pump, place sticker across edge of sump cover and basement floor so any removal ~f 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 o Outsidf I Prior to Inspection: When was system installed, or most recently modified? (Date) o Home came with system o Water in basement and why I B. C. ROOF LEADERS: YARD DRAINS BEAVER SYSTEM o Response to inspection program o Previous system failed ~es 0 No DISCHARGE: 0 Near ~y I WINDOW WELLS 0 Yes~ o Other o Yes B"'No o Yes ~o D. PROPERTIES WITH SUMP PUMPS When does pump run? 0 Fall 0 Summer 0 Spring (check all that apply) How often does pump run? Where does pump discharge to outside? 0 Front 0 Back o Side i o Winter! _'_'_0_'_0_0_0_'_'_'-'-'-'-'_'_'_0_'_'_'_0_._._0_0_._0_'_'_'_'_'_'_'_0_0_'_'_'_'_'_'_'_'_'_'_0_'_'_'_'_'_'_0_._o~._._._._._o_._._._ NOTES: SUMP PUMP SYSTEM: et15Ass 0 FAIL You have 30 days to bring your system into complianl ~e with current regulations. When you are ready for reinspection, call 651/644-1469 fi 'r an appointment. Is there another place where clear water enters the sanitary sewer system? 0 Yes sh'q'o Where is this location? This area will need to be fixed so the clear water discharges to the storm sewer system. Inspector: --;) ;Il..i ft.1J~~ Date: 6- 2 L{. 7'1 Resident: ~. "-I '.)o4..~ Date: 6 -;Jl{. 9tJ Disclaimer: This visual inspection is done with due diligence to fmd obvious clear water cros: i-connections and does not imply the structure meets all City Codes. ' White: Homeowner Yellow: City Pink: HRG