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HomeMy WebLinkAboutSump Pump Inspection j603/t City of Prior Lake Sump Pump and III Reduction Inspection Form /!Jpp/ / Name: Z IJ.,S/,e~. ~ Date: /-/8-~9 Time096t?l!.:.!P.lp.m. /.Ir ../ FirstInsp~ion ~cond tJ ,31;000: 8o'j~s Address:.::.J"}J79 ffil,ei3~)../KS 71z de. Own: 19'" Rent: 0 Age of aome:2N.9pD, : J /. . /. Residential: ~ 9:J€5 Prior Lake, MN 55 $ '7..z, Phone:-!-V'7 - tz'Y 7 Non-Residential: 0 /' I A. BASEMENT ~ O~' SUMP BASKET 0 0 ~ 2 Oi 3 0 WATER IN BASKET ~s ONo SUMPP~' 0 0 ~O 2 013 0 WATER IN BASEMENT (flow over floor) 0 Y es ~ CISTERN 0 Y es ~ (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 ~e B. C. Prior to I ction: 1'1 CS 0 Whe as system installed, or most recently modified? (Date) / - 7 and why Home came with system 0 Respons 0 inspection program 0 Other o Water in basement 0 PrevO s system failed ../"/ ROOF LEADERS: Yes 0 No DISCHARGE: 0 Near ~~ YARD DRAINS 0 Yes....L WINDOW WELLS ~ d No BEAVER SYSTEM 0 Y es ~ PROPERTIES WITH SUMP PUMPS ~ ~ When does pump run? 0 Fall riummer ~ng . O~int I (check all that apply) How often does pump run? )5;r r€e H€,ql/;J / ^' Where does pump discharge to outside? 0 Front 0 Back e . ~ D. -----------.---------.---------------------.-------------------------------------------------------.-.-.--------~---_._._._.-._---- NOTES: ~ SUMP PUMP SYSTEM: ~S 0 FAIL You have 30 days to bring your system into compliw cce with current regulations. When you are ready for reinspection. call 651/644-1469 )Jr an ~nt. Is there another place where clear water enters the sanitary sewer system? 0 Y es ~ Where is this location? This area will need to ~J(~the cl~ warischarges to the storm sewer system. Inspector: ~lf/,?l~ Date: /- .28- <:;9 Resident: ,~~ ~~ Date: /-,2 8 - 99 / r~~ Disclaimer: This visual inspecti~n is done with due diligence to fmd obvious clear water cro.s-connections and does not imply the structure meets all City Codes. White: Homeowner Yellow: City Pink: HRG