HomeMy WebLinkAboutSump Pump Inspectionj, ~, 4F PRIp~P
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Insuection Form
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Name: ~.~.~ ~.,,,~' ~ J ~~ O ~7~N 1~
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Address:~~~'7' ! _~~•VO 1,~/~G~ ~D
Prior Lake, MN 55 ~7~ Phone~Y'`rf~ ~S ~~
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Dat - ~~ ~~ Time:~~~~a.mJp.m.
First In~s~p~ ion ~cond ~
Own: ~' Rent: Age of Home~~
Residential: ~ ~ ~
Non-Residential: ~
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A. BASEMENT es ~ No~ SiJMP BAS T~ 1 ~ 2 ~7 3~
WATER IN BASKET ~ Yes o SiTMP P 0~ 1 ~ 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 forxn.)
Discharge Point ~ Laundry tub Q Sanitary se~- l7 Outside
at Inspection: Ca Floor drain O Other
Prior to Inspection:
When was system installed, or most recently modified? (Date)
Q Home came with system
a Water in basement
B. ROOF LEADERS:
G YARD DRAINS
BEAVER SYSTEM
~ Response to inspection program ~ Other
and why
~ Pre us system failed
es ~ N DISCHARGE: ~ Near ~ Away
C7 Yes Q~ WINDOW WELi,S ~ Yes ~ No
C? Yes l3 No
D. PROPERTIES WITH SUMP PUMPS
When does pump run? ~ Fall Q Summer
(check all that apply) How often does pump run?
V~here does pump discharge to outside? ~ Front
NOTES:
C7 Sprj,~g_ O Winter
~ Back 17 Side
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SUMP PUMP SYSTEM: ~ASS ~ FAIL You have 30 days to bring your system into compliance with current
regulations. When you are ready for rein.spection, call 651 /644-1469 for an appo' ent.
Is there another place where clear water enters the sanitary sewer system? L7 Yes E#~'No
Where is this location?
This area will need to by~'ixe~l,so the cle~r w~yer discharges to the storm sewer system.
I Inspector: fu~ '"'""~ - Date: .C =G~ i 7Y I
Resident: ~ ~„ L M 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.
City of Prior Lake
Sump Pump and IiI Reduction
White: Aomeowner Yellow: City Pink: HRG