HomeMy WebLinkAboutSump Pump Inspection~~
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~PASS ~ FAIL You have 30 days to bring your system into comp[iance with current
regulations. When you are ready for reinspection, call 651 /644-1469 for an appoi t.
water enters the sanitary sewer system? ~ Yes o
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~ Name: ~-~~'~~~~ " Date:"7 ~~' ~~/ Time!~~a.m./p.m.
~y ~ ,~ ~ ~~rst In~~~s~pfe ~ion ~cond ~
Address: ~/~~ -~.L- ~-'~~~~ ~/~ Own: f~ Rent: Q A e of Home:
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/y,J/ , /~~ ~~ _ /~ Residential: L'~k''°
Prior Lake, MN 55~/N Phone y ~Y Non-Residential: ~
/ ~
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A. BASEMENT es I~~ SiJMP BASKET ~ 0 ~ 2 ~ 3 O
WATER IN BASKET L~~'~ es ~ No SiJMP~PU~' ~ 0 1~ 2 ~ 3
WATER IN BASEMENT (flow over floor) ~ Yes o CISTERN Q Yes
(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 ~ Other
Prior to Ins~pection:
When s system installed, or most recently modified? (Date) and why
Home came with system ~ Response to inspection program ~ Other
Q Water in basement ~ Prev' s system failed
B. ROOF LEADER5: es ~ N DISCHARGE: ~ Near way /
C. YARD DRAINS ~ Yes Q ~N WINDOW WELLS ~ Yes ~No
BEAVER SYSTEM ~ Yes L~''No
D. PROPERTIES WITH SUMP PUMPS
When does pump run? Q Fall ~ Summer rin O Winter
(check all that apply) How often does pump run? ~Q/c~~ ~iA i r~
V~here does pump discharge to outside? ~ Front ~ Back ~ Side
NOTES:
SUMP PUMP SYSTEM
Is there another place `
Where is this location?
This area will naed to 1
Inspector:
of Prior Lake
and I/I Reduction
tion Form
clear er ' charges to the ~torm sewer system.
Date: ' '
, ~, Date; - -
Disclaimer: 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