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HomeMy WebLinkAboutSump Pump InspectionF` .n f ~~ ~ ~, ~~ ~~~ ~~: ~ ~- City of Prior Lake Sump Pump and I/I Reduction Ins~ection Form 'p,~'T ~ ~ ~ ~ Name: ,~~ ~ ~~%~~ ~ .~'"1/~/~ Date~'a-Jp`~ Time~~~~a.m./p.m. /,~/ ~`' ' '~ ~~ irst In_sp ~ion ~cond ~ , Address:~~~~0' 7....L~~C.I~.A.If /.CL~ Own: IJ' Rent: '" Age of Home: ~(~ r~ ~ Residential: ~ Prior Lake, MN SS~~iu Phone'~"'r'l~'~i~~~ Non-Residential: Q / t.r'S/YV v I4~ ~ ~ A. BASEMENT es ~,,ATo SUMP BASKET ~ 0 ~' 1~ 2 ~ 3 ~ WATER IN BASKET tD~~es ~ No SUMP PUMP ~ 0 D~'~~ 2~ ~ WATER IN BASEMENT (flow over floor) ~ Yes ~-~'o CI5TERN ~ 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: ~ Water in basement Q Previous syste i ed B. ROOF LEADER5: ~ Yes o DISCHARGE: ~ Near ~ Away C. YARD DRAINS ~ Yes I~ N o WINDOW WELLS Q Yes ~.~5~ BEAVER 5YSTEM ~ Yes L~'IQo ~ Prior to Inspection: ~ A~ ~ When was system installed, or most recently modified? (Date) ~ and why u57' ~~ CA S E Q Home came with system ~ Response to inspection program Other D. PROPERTIES WITH SUMP PUMPS ~~ When does um run? ~ Fall C9'Summer rin ` )~ Winter ~ ) (check all that apply) How often does pump run? /~ ~ rL /`~E ~ t~ ~~~J Where does pump discharge to outside? ~ Front ack Q Si NOTES: SUMP PUMP SYSTEM: U PASS ~ FAIL You have 30 days to bring your system into compliance with current regu[ations. When you are ready for reinspection, ca[l 651 /644-1469 for an ap era. Is there another place where clear water enters the sanitary sewer system? ~ Yes NL~T~ o~ Where is this location? This area will need to be~xe~ the clea~ate~scharges to the storm sewer system. Inspector: Resident: ~ Laundry tub ~ Sanitary sewer utside ~ Floor drain ~ Other Date: ,,,~ - GU- Date: _~ - Z c~ - Disclaimer: This visual inspection is done with due diligence to find obvious clear water cross-connections and does not imnlv the structure meets all Citv Codes. White: Homeowner Ye11ow: City Pink: HRG