HomeMy WebLinkAboutSump Pump Inspection1 ~F PRIp~'
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City of Prior Lake
Sump Pump and I/I Reduction
Insnection Form
Name: ~ ey~~~` ~' =~~~-ar_ i a~ ./~~'~~~ ~y~ h Date: ~/ -~ .~ 4/ `9 9 Time: ~ I 30 a.m./p.m.
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First Inspection L~" Second ~
Address: J~.~ ~ 7 ~a Y~ ~ Wa Q~( -~C, "~ .l~ ~! v~/ Own: C~ Rent: ~ Age of Home: 3 I
Residential: 1~''
Prior Lake, MN 55.; 7~ Phone: ~/~/D-.~7.:1~ Non-Residential: I~
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A. BASEMENT es ~ No SUMP BASKET ~~ 1 ~ 2 ~ 3 ~
WATER IN BASKET ~ Yes D No SUMP PUMP I~0 ~ 1 Q 2 ~ 3 ~
WATER IN BASEMENT (flow over floor) Q Yes ~o CISTERN ~ Yes 13~0
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(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 ~ Other
Prior to Inspection:
When was system installed, or most recently modified? (Date) and why
17 Home came with system Q Response to inspection program ~ Other
D Water in basement ~ Previous system failed
B. ROOF LEADERS: ~Yes ~ No DISCHARGE: ~ Near A'Away
C. YARD DRAINS ~" Yes Q No WINDOW WELLS ~ Yes Ia~IGo
BEAVER SYSTEM ~ Yes [YNo
D. PROPERTIES WITH SUMP PUMPS
When does pump run? ~ Fall ~ Summer a Spring ~ Winter
(check all that apply) How often does pump run?
V~here does pump discharge to outside? ~ Front 17 Back Q Side
NOTES:'~(Afy~~"~'~.~^r.J~~'~'~O~•'~n(,J •Or •~l•NP• •OT ~nti:f• .~l'-l~~~~s~1• •9~n~• • ~7 •19^~i
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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 reinspecrion, call 651/644-1469 for an appointment.
Is there another place where clear water enters the sanitary sewer system? ~ Yes
Where is this location?
This area will need to be fixed so the clear water discharges to the storm sewer system.
C~'~NO
I Inspector: tr..-~..o~ ~~ -- Date: y/- ~~/- 9~' I
Resident; ~`/ ~ Date: ~/~ ..1 ~/ - 99
Disclaimer: This visu`al 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 Pink: HRG