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HomeMy WebLinkAboutSump Pump Inspection ..,t,.. rJ () fd 4('. )t'( City of Prior Lake Sump Pump and III Reduction Inspection Form Name: P kc./t 1;.),- (( \ L; """:/('11 /tOt12"f'v IV...; t Date: j-I) -71 Time:O?Jja.m./p.m. First Inspection ~ Second 0 Own: l3"""" Rent: 0 Age of Home: :)-0 +-- Residential: g.- Non-Residential: 0 Address: 16 I> S-Y I tV G ~ A i) A) 11 RAt t. CI r< Prior Lake, MN 55 '] '7 -l Phone: "A. BASEMENT ~s 0 No SUMP BASKET 13"'0 0 1 0 2 0 3 0 WATER IN BASKET 0 Yes 0 No SUMP PUMP era 0 1 0 2 0 3 0 WATER IN BASEMENT (flow over floor) 0 Yes ~ CISTERN 0 Yes Q..N-o (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: o Laundry tub o Floor drain o Sanitary sewer o Other o Outside ;j"..., Prior to Inspection: When was system installed, or most recently modified? (Date) and why ..IQIA o Home came with system o Water in basement o Response to inspection program 0 Other o Previous system failed ~s 0 No DISCHARGE: ~ar 0 Away PROPERI1ES WITH SUMP PUMPS When does pump run? 0 Fall 0 Summer 0 Spring (check all that apply) How often does pump run? Where does pump discharge to outside? 0 Front -'-'-'-'-'-'-A-J-:l'-'-'-'-'-'-'-'-'-'-'-'-'-'.'-'-'-'-.-.-.-.-.-.-.-.-...-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-...-.-.-.-.-.-.-.-.-.- NOTES: IVt, bQr (J.../ h(;J~l'\.f~,.. \. .k-/- i-\-r /'" +0 A~ ;",-~~~,t/o""-. ~<)I.,"'c! ~~ AI'~. . ~SS B. C. ROOF LEADERS: YARD DRAINS BEAVER SYSTEM D. SUMP PUMP SYSTEM: o Yes ~ o Yes Q..-No WINDOW WELLS 0 Yes ~ o Winter o Back o Side o FAIL You have 30 days to bring your system into compliance with current regulations. When you are ready for reinspection. cal/651/644-1469 for an appointment. Is there another place where clear water enters the sanitary sewer system? 0 Yes B1'fo Where is this location? This area will need to be fixed so the clear water discharges to the storm sewer system. Inspector: --;) J 4-1. ~ / / Date: (: /' J.J - i tj Resident: ~?7 cc>L-'[A..-- Date: {-, I 7 - .7, Disclaimer: This visual inspection is done with due diligence to fmd obvious clear water cross-connections and does not imply the structure meets all City Codes. White: Homeowner Yellow: City Pink:: HRG