HomeMy WebLinkAboutSump Pump Inspection~F PR1p~
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City of Prior Lake
Sump Pump and I/I Reduction
Insnection Form
Name: ~.J ~~~~ J`~~~ ~~/~
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Address: /~~~~ ~-J~~~~ /~~
Prior Lake, MN 55 ~~~ Phone7'Yt~-'r~'~~
Date
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~~~ ~~ Timet'/~~~a.m./p.m.
First Insp~ec n L9-~'Second 17
Own: I~'" Rent: ~ Age of Home
Residential: ~''~
Non-Residential: ~
/l.~C/u/ ~.. r~v
A. BASEMENT es~Y~ SiJMP BASKET ~ 0 l~`2 ~ 3 ~
WATER IN BASKET es ~ No SUMP PL1 ~ 0 t9~ ~ 2~a
WATER IN BASEMENT (flow over floor) ~ Yes o 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 ~ Laundry tub ~ Sanitary sewer utside
at Inspection: O Floor drain ~ Other
Prior to Inspection: C~
When was system installed, or most rec tly modified? (Date) ~/ and why
~ Home came with s stem esponse to inspection program ~ Other
Y
~ Water in basement ~ Prev;ious system failed
B. ROOF LEADERS: 10" Yes ~ No DISCHARGE: Q Near ay
C. YARD DRAINS Q Yes I~''No WINDOW WELLS ~ Yes 43''"No
BEAVER SYSTEM ~ Yes ~
D. PROPERTIES WITH SUMP PUMPS ~~ /~
When does pump run? ~ Fall lD~'Summer' ,,Q r~in$ ~~ ' ter
(check all that apply) How often does pump run? ~ Y/~/e iC..~ /~
V~here does pump discharge to outside? ~ Front ~ Back
NOTES:
SUMP PUMP SYSTEM:
Is there another place where
Where is this location?
This area will need to be~~
'~ASS ~ FAIL You have 30 days ta bring your system into compliance with current
regu[ations. When you are ready for reinspection, call 6511644-1469 for an a ent.
water enters the sanitary sewer system? Q Yes o
clear w~er,d~liarges to the storm sewer system.
I Inspector: ~ ~ ~`~' "~"'~ Date: "~'- ~ / - 7.7 I
Resident: -~ ,_ ~~,..~ O Date: -/ 7' -~
Disclaimer: This visual inspection is done with due diligence to f'ind obvious clear water cross-connections
and does not imnlv the structure meets all City Codes.
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White: Homeowner Yellow: City . Pink: HRG
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