HomeMy WebLinkAboutSump Pump Inspection~F PRI p~
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/ ,~ ~(~ ~ '/ ~ . ~~~First Insp~e ° n ~''"Second ~
Address: / ~~~~ ~s'~~~ ~" ~~~G ~ /~ ~ Own: I~ Re`nt~: Age of Home:i~~ ~
,/~/ ~y esidential: [9'' _,
Prior Lake, MN 55~~~ Phone~`7''~`~/~~~~Non-Residential: ~
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Name: ,~~~~~' ~.~~'• 1" Date: ~~°~~ Time:~/~Q.m./p.m.
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A. BA5EMENT es ~ No SUMP BASKET 0 1~ 2 ~ 3 ~
WATER IN BASKET ~ Yes o 5LJMP~P~ ~ 1 ~ 2~~~ ~~~
WATER IN BASEMENT (flow over floor} ~ Yes f~"No CISTERN O Yes tD~Qo
V~here does pump discharge to outside? ~ Front ~ Back
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NOTES:
Discharge Point
at Inspection:
(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.)
Inst~ection Form
~ Laundry tub ~ Sanitary sewer ~-Outside
~ Floor drain ~ Other
Prior to Inspection:
When was system installed, or most recently modified? (Date)
~ Respons to inspection program ~ Other
Q
D. PROPERTIES WITH SUMP PUMPS
When does pump run? ~ Fall ~ Summer
(check all that apply) How often does pump run?
B. ROOF LEADERS:
C. YARD DRAINS
BEAVER SYSTEM
~ Side
SUMP PUMP SY5TEM: ASS ~ FAIL You have 30 days to bring your system into comp[iance with current
regulations. When you are ready for reinspection, call 651 /644-1469 for an ent.
Is there another place where c~r water enters the sanitary sewer system? l7 Yes o
Where is this location?
This area will need to b ixed s clear w er ' rges to the storm sewer system.
Inspector: • Date: ~ =
Resident: J -- - --- _ __ _ Date: ~ -
I Discl ' ~s visual inspection is done with due diligence to find obvious clear water cross-connections I
an oes not imuly the structure meets all Cit_y Codes.
White: Homeowner
Q Home came with system
Q Water in basement
City of Prior Lake
Sump Pump and I/I Reduction
and why
Pre ' us system failed
Yes ~ No DISCHARGE: ~ Near ~way
~ Yes ~~~ WINDOW WELLS Q Yes El~IQo
O Yes Q No
Yellow: City
,~',,,.-
L~ Sprin~,,,.,...-- ~ Winter
Pink: ;:HRG