HomeMy WebLinkAboutSump Pump Inspection^.~ ~
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ry "'~~,~ First Inspection ~/ Second 17
Address: /~~0~~,.-i ~,J~N~ -~/~~~~ Own: ~ Rent: Age of Home: ~
~y ,/,` Residential: ~ ~
Prior Lake, MN 5~ /~ Phone `~" ~` ~-' (°~~~ Non-Residential: Q
City of Prior Lake
Sump Pump and I/I Reduction
Ins~ection Form
Name:~C'~~iLC~~~~ ~ ~ `'~j`''~ ~~~ T Date:~~
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A. BASEMENT ~'Yes O o SUMP BASKET Ca 0 C~~'~1 2~ 3 a
WATER IN BASKET es O No SLJMP PIJMP a 0 ~1 Q 2 ~ 3 Q
WATER IN BASEMENT (flow over floor) ~ Yes t~o~ CISTERN ~ Yes Q.Pd~6`^
(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 17 Laundry tub C7 Sanitary sewer utside
at Inspection: Q Floor drain ~ Other
~~~~L~ ~_ /
C. YARD DRAIN5 '~t ~j, ~/Yes a No WINDOW WELLS ~ Yes ['~'~To
BEAVER SY5TEM ~ ~,~~ ~ ~ Y~es Q ~N ~
D. PROPERTIES WITH SUMP PUMr~ ~_/ ~~/
When does pump run? ~ Fall ~.~3ummer Q',S~ r.ing ~-~inter
(check all that apply) How often does pump run? !/ S OA ~
Where does pump discharge to outside? a Front ack ~ Side
NOTES:
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Prior to Inspection: ~ ~ ~ Q
When was system installed, or most recently rnodified? (Date) 7 and why
Q Home came with system esponse to inspecCion program a Other
~ Water in basement ~ Previous system failed
B. ROOF LEADER5: ~~ lI7~Yes ~ No DISCHARGE: ~ Near Pl Away
SUMP PUMP SYSTEM: 1~'~'ASS ~ FAIL You have 30 days to bring your system into compiiance with current
regulations. Whm you are ready,jor reinspection, calt 651/644-1469,r'or an appoi t.
Is there another place where clear water enters the sanitary sewer system? ~ Yes o
Where is this location?
This area will need to b ed~e clear w er ~ges to the storm sewer syste1m.
Inspector: • ~~"" ~ '`~-~~`' Date: ""~` ' c~ ~
Resident: . :a'` .. l. ~~ ~" . (i:~ ~ . , - ~ ,----~' 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
Pinkt HRG