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HomeMy WebLinkAboutSump Pump Inspectiont~~ ~ QF PRIp ~' ~ ,~ ~~ ~ j~ ~ ~ ~, ~~ ~ , Name: ~~~/'',~ '~~ /~~~ ~t,~,~ Address: f~~~~P ~/"~,~~ //.~G~ t~/~ Prior Lake, MN 55 ~~~ Phone: 7"`~ ~~9~1 ~..~uti ~ A. BASEMENT es IJ No /~ SUMP BASKET ~ 0 Q 2 ~ 3 ~ WATER IN BASKET ~ Yes 131.p~r SUMP P~ 0 Q 1 ~ 2- ~ /3 ~ WATER IN BASEMENT (flow over floor) ~ Yes ~~NO CISTERN ~ Yes ~-i~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~[] Outside at Inspection: ~ Floor drain a Other Prior to Inspe ' n: When ystem installed, or most recently modified? (Date) and why Home came with system ~ Response to inspection program ~ Other O Water in basement ~ Prev' us system failed B. ROOF LEADERS: ~'Yes I~ No DI5CHARGE: ~ Near L9~"Away C. YARD DRAINS ~ Yes ~ WINDOW WELLS Q Yes ~'No BEAVER SYSTEM ~ Yes ~~ D. PROPERTIES WITH SUMP PUMPS When does pump run? ~ Fall ~ Summer Q Spring ~ Winter (check all that apply) How often does pump run? --''" V~here does pump discharge to outside? la Front ~ Back ~ Side NOTES: SUMP PUMP SYSTEM: L~PASS Q FAIL You have 30 days to bring yoursystem into compliance wuh current regulations. When you are ready for reinspection, ca[l 651/644-1469 for an ap ent. Is there another place where clear water enters the sanitary sewer system? ~ Yes L~#''.~ Where is this location? This area will need to be ed~e clear w~er ~i'arges to the storm sewer system. Inspector: Resident: ,~ ~'}?~ .~ City of Prior Lake Sump Pump and I/I Reduction Insnection Form ~PJ7~ Date;.G~ %~'~-~~Time;/~~a.m./p.m. First In~sp~,e,~on ~nd a Own: 19' Rent: ~ Age of Home:~ , Residential: QY'~ ,~ Non-Residential: ~ Date: ~~ Dateā€¢ 3- 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 Ye11ow: City Pink: HRG