HomeMy WebLinkAboutSump Pump Inspectiona~
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City of Prior Lake
Sump Pump and I/I Reduction
Inspection Form ,q,~,~~~
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Name: /~/ /.~ tL/p//,O ~- Dat~"~'9~ Tim „~~~~a.m./p.m.
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o>,~/ ~(7 ~ '~-,~'~ ~ First Insp, ~ion Second D /
Address: ~~NV~ U~~b~~;~S,Ei~:~ f,~ Own: ~' Rent: - Age of Home: C~
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~! ,!,/ Residential:
Prior Lake, MN 55 ~~N Phone?` ~`~~~ 1.,,~ Non-Residential: 17
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A. BASEMENT es ~ SUMP BASKE ~ 0 ~ 2 O 3 ~
WATER IN BASKET es ~ No SUMP P 0 Q 1 ~ 2~ L~~ ~
WATER IN BASEMENT (flow over floor) C] Yes o CISTERN ~ Yes ~~ f 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 O Laundry tub ~ Sanitary sewer 17 Outside
at Inspection: O Floor drain C7 Other ~"
Prior to pection: -~''~~
Whe as system installed, or most recently modi~ed? (Date) and why
Home came with system ~ Response to inspection program L] Other
~ Water in basement ~ Previous syst ailed
B. ROOF LEADERSc O Yes DISCHARGE: ~ Near Q Away
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C. YARD DRAINS ~ Yes ~
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1 WINDOW WELi,S ~ Yes [D..fiVo
BEAVER SYSTEM ~
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17 Yes ~No
D. PROPERTTES WITH SUMP PUMPS
When does pump run? Q Fall ~ Summer ~ Spyiug ~ Winter
(check all that apply) How often does pump run? ~
Where does pump discharg e to outside? ~ Front ~ Back ~ Side
NOTES:
SUMP PUMP SYSTEM: Ldl PASS ^ FAIL You have 30 days to bring your system into compliance with current
regularions. When you are ready for reinspection, ca[1651/644-1469 jor an appo nt.
Is there another place where clear water enters the sanitary sewer system? ~ Yes ~L~"1Qo
Where is this location?
This area will need to ~'ixed~the clear,wate~,.d,ischarges to the storm sewer system.
Inspector: `""""~ Date: ~i -'~-~`--'- 77
Resident: Date: - O ~-
y , -
Disclaimer: This visual inspection is done with due diligence to find obvious clear water cross-connections
and does not impl_y the structure meets all City Codes.
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White: Homeowner Yellow: City Pink: HRG