HomeMy WebLinkAboutSump Pump Inspection, r F PRj~
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Inspection Form ,~,~a)~
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Name: ,~,C~~ie ,~i~~.L ~~' Date: :~~~Time:~i~.m./p.m.
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~j, ~~ `~~ First In~~sp~e on ~cond ~
Address: ~~~~f/ /1 ~~~i9~.S ~,D Own: L9' Rent: Age of Home: 0
.y ~ /~/ Residential: ~ ~
Prior Lake, MN 55~/ ~ Phone:'~` "~ ~~.~~~ Non-Residential: ~
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A. .BASEMENT es ~ l~e SiTMP BASKET ~ 1~ 2 ~ 3 ~
WATER IN BASKET ~X'es ~ No SiJMP~~~ 0~ 1 17 2~ 3
WATER IN BASEMENT (flow over floor) Q Yes o CISTERN O Yes o
(If no pump, place sticker across edge of sump cover and basement floor so any removal ~f cover will
break seal. Skip to Part B of this form.) A
Discharge Point ~ Laundry tub ~ Sanitary sewer,,.--~ ~ Outside
at Inspection: O Floor drain ~ Other
Prior to Inspection:
When was system installed, or most recently modified? (Date).
~ Home came with system
Q Water in basement
B. ROOF LEADERS:
C. YARD bRAINS
BEAVER 5Y5TEM
~ Response to inspection program ~ Other
~ Prev' s s stem failed
i
and why
Y
Yes I~ No - DISCHARGE: ~ Near way
Q Yes ~~ N~ WINDOW WELLS Q Yes ~~1Q~o
~ Yes ~No
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? ~ Front
NOTES:
O Spring Q Winter
a Back.-- Q 5ide
SUMP PUMP SYSTEM: I~'ASS ~ FAIL You have 30 days to bring your system into compliance with current
regu[ations. When you are ready for reinspection, call 651/644-1469 for an appointment.
Is there another place where clear water enters the sanitary sewer system? Q Yes @''No
Where is this location?
This area will need to be ~d~s~he clear~ate~charges to the storm sewer system.
Inspector: ~ /'~"" ~""' Date: .-G --~ ' 'y7
Resident: -,~ / / , . /J Date: -
Disclaimer: This visual inspection is done with due diligence to find obvious clear water cross-connections
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