HomeMy WebLinkAboutSump Pump Inspectionr'.~
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City of Prior La~e
Sump Pump and I/I Reduction
Inspection Form ,~~;~~r
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Name: ~~~'U / ' /~,~~ / ~ Date• ~~~~ Timez' ~G'~a.m./p.m.
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~ ~~ First In~sp~ec ° n ~-'"Second ~
Address: ~~~~~~ ~~~~ ~~ ~D Own: C~'' Rent: Age of Home:~
, ~y 1/ ~/ /Residential: ~ ~
Prior Lake, MN 55 ~/~ Phone':Y ~/ ::~ ~I~ Non-Residential: ~
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A. BASEMENT es ~ No ,/ - SUMP BASKET 1 D 2 Q 3 ~
WATER IN BASKET ~ Yes ~"No SiJMP ~P~ 0~ 1 ~ 2 ~ 3-~
WATER IN BASEMENT (flow over floor) ~ Yes QLNo CISTERN ~ Yes ~'l~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.)
~ Laundry tub ~ Sanitary sewer ~f~ Outside
Q Floor drain ~ Other
Prior to Inspection: ~~
When was system installed, or most recently modified? (Date) and why
Discharge Point
at Inspection:
~ Home came with system d Response to inspection program ~ Other
~ Water in basement ~ Previous system failed
B. ROOF LEADERS: ~ ~~ Yes No DISCHARGE: Q Near ~ Aw
i
C. YARD DRAINS ~ ~ P es ~ No WINDOW WELLS ~No
D-~u
BEAVER SYSTEM U~ ~F~ ~ Yes o
P
D. PROPERTIES W~IT SUMP PUMP5
When does pump run? D Fall ~ Summer
(check all that apply) How often does pump run?
V~here does pump discharge to outside? ~ Front
NOTES:
~ S rin ~ Winter
~ Back ~ Side
SUMP PUMP SYSTEM: I~`PASS ~ FAIL You have 30 days to bring your system into compliance with current
regulations. When you are ready jor reinspection, cal! 651/644-1469 for an ap ' ent.
Is there another place where clear water enters th~itary~~~ system? a Yes o
Where is this location? ~~.~
This area will need to fixed.s~the ci~~e:r,h'va~r .~
sewer system.
Date• -~ "'
Date: O-
Disclaimer: This visual inspection is don~"v~~v'~h-~u~d'11~
and does not imply the structure meets all City Codes.
White: Homeowner Yellow: City
~ to find obvious clear water cross-connections
Pink: HRG
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