HomeMy WebLinkAboutSump Pump Inspection~~.
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Name: _ ~~~o~~ /, '~ /~~~ Dat~--r~ ~ Time~J~-~a.m./p.m.
/~'~y ~~ First In~s~P tion Q' Second ~
Address: o..i /~~/~''~~~ ~'~'L~ ~~ Own: E~ Rent: Age of Home:~
Residential: ~ ~
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Prior Lake, MN 55 ~~ Phone':~y''~~'~~~~ Non-Residential: ~
A. BASEMENT ~es ~ No~ ~ SUMP BA5KET L~YO 1~ 2 ~ 3 ~
WATER IN BASKET O Yes ~ No SUMP ~P~ ~ 1 ~ 2 ~ 3 ~
WATER IN BASEMENT (flow over floor) ~ Yes @'No CISTERN ~ Yes ~ No
(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 sewe~,,., D Outside
at Inspection: O Floor drain I~ Other
Prior to Inspection:
When was system installed, or most recently modified? (Date) and why
O Home came with system ~ Response to inspection program ~ Other
Q Water in basement ~ Previous system failed
B. ROOF LEADERS: ~ Yes l~/No DISCHARGE: ~ Near ~ Away
C. YARD DRAINS ~ Yes C-Y~° WINDOW WELLS ~ Yes Q" No
BEAVER SYSTEM ~ Yes Q'NO
D. PROPERTIES WITH SUMP PUMPS
When does pump run? O Fall ~ Summer ~ Spring ~ Winter
(check all that apply) How often does pump run? '~
V~here does pump discharge to outside? I~ Front ~ Bat~ ~ Side
NOTES:
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SUMP PUMP SYSTEM: ~ASS ~ FAIL You have 30 days to bring yaur system into compliance with current
regulations. When you are ready for reinspection, cal[ 651 /644-1469 for an tntment.
Is there another place where clear water enters the sanitary sewer system? ~ Yes o
Where is this location?
This area will need to b xe o the clear w,~r d~rges to the storm sewer system.
Inspector: ~'~ ~-~',/~u '`"''~...`..--- Date: - ~~O-
Residentc~ C~;~ ~c•_`~ i`ti-C.: ~ Z~t ~°~ ~ Date: ;;,i4-
Disclaimer: This visual inspection is done with due diligence to find obvious clear water cross-connecNons
and does not imply the structure meets all City Codes.
White: Homeowner Yellow: City Pink: HRG