HomeMy WebLinkAboutSump Pump Inspection~~ aF PRIp~P
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ection Form
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Name:/~~~~.~~/~~v, / .~ i ~~~G,~ Date~"'~"~~ Time~~~m./p.m.
,/ .,, y ~ ..- First In~sp~ ion ~nd Q
Address: ~~'Y 8~ ~~~~'~~ /~ tJ,~% Own: ~" Rent: Age of Home: ~
, L/ ,/ Residential: ~ ,~
Prior Lake, MN 55 ~~~ Phone:'~`~~' 7`~~ ~ Non-Residential: ~
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A. BASEMENT es ~ No~ SUMP BA T~~ 1 ~ 2 ~ 3 ~
WATER IN BASKET ~ Yes No SiJMP P P 0~ 1 CI 2~j3 O
WATER IN BASEMENT (flow over floor) ~ Yes No CI5TERN Q Yes L~'~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
at Inspection:
City of Prior Lake
Sump Pump and I/I Reduction
ta Laundry tub ~ Sanitary sewev- ~ Outside
Ca Floor drain ~ Other
Prior to Inspection: -~'~
When was system installed, or most xecently modified? (Date)
O Home came with system
~ Water in basement
B. ROOF LEADERS:
C. YARD DRAINS
BEAVER SYSTEM
and why
~l Res onse to inspection program ~ Other
Q P vious system failed
Yes ~ o DISCHARGE: Q Near L~'"Away
Ye ~ WINDOW WELLS ~ Yes ~To
ta s o
~ Yes No
D. PROPERTIES WITH SUMP PUMP5
When does pump run? ~ Fali a Summer a Spring Q Winter
(check all that apply) How often does pump run? 'r
Where does pump discharge to outside? ~ Front O Back ~ Side
NOTES: /
SUMP PUMP SYSTEM: ~7' PASS ~ FAIL You have 30 days to bring your system into comp[iance with current
regulations. When you are ready for reinspection, call 651/644-1469 for an appo ent.
Is there another place where clear water enters the sanitary sewer system? l7 Yes E~'ZVo
Where is this location?
This area will need to be so,,t~e clear wa,ter djecftarges to the storm sewer system.
Inspector: ~ ../~ Date: _L~
Resident: ~1 ~ ~.-,r/' 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.
White; Homeowner Yellow: City Pink: HRG