HomeMy WebLinkAboutSump Pump Inspection1 ~
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Inspection Form ~~~>~
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Name: ~.J I ~~~ % , ~~~t~~~ Date: ~%~ ~ ~ Time;~~~a.m./p.m.
,,, t/ .-~ .. First Insp~ ion [~ Second ~
Address: ~~ ~ ~17 ~iq~1~ ~OI.G /~ ~? ~~= Own: E~]" Rent: Age of Home: ~ ~
Residential: ~ ~
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Prior Lake, MN 55 ~/~ Phone:'~~'Y ~~ ~~o~ Non-Residential: ~
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A. ~ BASEMENT I~es ~ No~ SUMP BASKET ~ 0/~ ~ 2 ~ 3 ~
WATER IN BA5KET ~ Yes o SUMP PiT~P ~~0 ~ 1 ~ 2 ~j3' ~
WATER IN BASEMENT (flow over floor) ~ Yes t~1o CISTERN Q Yes A'~1o
(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: Q Floor drain ~ Other
Prior to Inspection: ~
When was system installed, or most recently modified? (Date) and why
Ca Home came with system O Response to inspection program ~ Other
O Water in basement O Prev' us system failed
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B. ROOF LEADERS: es ~ No ~ DISCHARGE: Q Near way
C. YARD DRAINS ~ Yes WINDOW WELLS ~ Yes ~'iGo
BEAVER SYSTEM L~ Yes o
D. PROPERTIES WITH SUMP PUMPS
When does pump run? ~ Fall ~ Summer
(check all that apply) How often does pump run?
V~here does pump discharge to outside? a Front
O Spring ~ Winter
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NOTES:
~ Back ~ Side
SUMP PUMP SYSTEM: ~''~ASS ~ FAIL You have 30 days to bring your system into compliance with current
regulations. When you are ready,j'or reinspection, ca[[ 651/644-1469 for an ap 'ntment.
Is there another place where clear water enters the sanitary sewer system? ~ Yes 8"No
Where is this location?
This area will need to b ix~ the clea~ater~scharges to the storm sewer system.
Inspector. • .:%~~ ~` G a`." ~--- Date: ..c -.c - ~ 7
Resident: , ~~' , ~,;,1~ Date: - _ _
Disclaimer: This visual inspection is done with due diligence to find obvious clear water cross-connecNons
and does not imulv the structure meets all Citv Codes.
City of Prior Lake
Sump Pump and I/I Reduction
White: Homeowner Yellow: City Pink: HRG