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HomeMy WebLinkAboutSump Pump Inspection 11000'30 t,' City of Prior Lake Sump Pump and III Reduction Inspection Form Name: 2,/14 I DOllCl/AS , Prior Lake, MN 55312 Phone:~O - I./ilb 2 Date: :5 - lb. q1 Time: t;~ 00 a.m./~ First Ins~tion ~ Second 0 Own: Q' Rent:j:J-- Age of Home:L!tKJ Residential: ~ Non-Residential: 0 Address: l'Iqq~ P,.X/~ Pi C'-r-. A. BASEMENT ~ 0 No WATER IN BASKET 0 Yes ~ WATER IN BASEMENT (flow over floor) SUMP BASKET ar<)~ 1 0 2 0 3 0 SUMP PUM~ IW'O 0 1 0 2 0 3 .LJ o Yes ~ CISTERN 0 Yes ~ (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 Prior to Inspection: When was system installed, or most recently modified? (Date) and why o Home came with system o Water in basement o Response to inspection program 0 Other o Previous system failed ~ No DISCHARGE: 0 Near ~ay o Yese--No WINDOW WELLS 0 Yes~ o Yes ~ B. C. ROOF LEADERS: YARD DRAINS BEAVER SYSTEM D. PROPERTIES WITH SUMP PUMPS When does pump run? 0 Fall 0 Summer (check all that apply) How often does pump run? Where does pump discharge to outside? 0 Front o Spring o Winter o Back o Side -----.-----------.-----------------.-------.-----------------------------------------.---------------------.-------.-------.------- NOTES: SUMP PUMP SYSTEM: ~SS o FAIL You have 30 days to bring your system into compliance with current regulations. When you are ready for reinspection, call 651/644-1469 for an appointment. ~" o Yes Is there another place where clear water enters the sanitary sewer system? Where is this location? This area will need.1 to e fixed so the clear water discharges to the storm sewer system. /?" ,.4, Inspector: ~. ,c:> /" Date: 5-/6 - 99 Resident: />) /./:~A /1/ /( ~ Date: r ~ :/7" 1 ,tr ~-:7 Disclaimer: This visual inspection is done with due diligence to rmd obvious clear water cross-connections and does not imply the structure meets all City Codes. White: Homeowner Yellow: City Pink: HRG